Individual
SHELLEY WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2105 S 54TH ST STE 2, ROGERS, AR 72758-8191
(479) 268-4557
Mailing address
1607 NE CHAPEL HILL DR, BENTONVILLE, AR 72712-8439
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2009130
AR
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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