Organization
FACE2FACE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CAMPAGNA LCSW (OWNER/MANAGER)
(501) 514-0417
Entity
Organization
Contact information
Practice address
603 HARKRIDER ST, CONWAY, AR 72032-5633
(501) 514-0417
Mailing address
603 HARKRIDER ST, CONWAY, AR 72032-5633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8136-C
AR
Other
Enumeration date
07/19/2018
Last updated
03/05/2019
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