Individual
MRS. BRENDA FAYE WOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3358 S 2ND ST STE A-C, CABOT, AR 72023-7873
(501) 286-6053
(501) 286-6053
Mailing address
104 HAWK VALLEY DR, PARON, AR 72122-9709
(870) 820-7097
(501) 663-2234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6461-C
AR
1041C0700X
Clinical Social Worker
Primary
6461-C
AR
Other
Enumeration date
07/25/2014
Last updated
05/24/2023
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