Individual
MYRA WOOLFOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12100 HIGHWAY 270, WHITE HALL, AR 71602-8866
(870) 413-1973
Mailing address
12100 HIGHWAY 270, WHITE HALL, AR 71602-8866
(708) 413-1973
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
100
AR
101YA0400X
Addiction (Substance Use Disorder) Counselor
A-277
AR
Other
Enumeration date
09/07/2016
Last updated
12/07/2023
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