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Individual

MR. HYTER REZELL ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
320 LEE STREET, EARLE, AR 72331
(870) 792-7769
(870) 792-7561
Mailing address
320 LEE STREET, EARLE, AR 72331
(870) 792-7769
(870) 792-7561

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8166
TN
101YP1600X
Pastoral Counselor
TN
1041C0700X
Clinical Social Worker
Primary
8166
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000
ARKANSAS SOCIAL WORK LICENSING BOARD
AR
01
8166
BOARD OF SOCIAL WORK LICENSURE
TN
Enumeration date
04/17/2007
Last updated
06/21/2011
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