Individual
YVONNE J WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
829 HALBERT ST, MALVERN, AR 72104-2607
(501) 332-4400
Mailing address
1688 CHESTNUT DR, BISMARCK, AR 71929-6622
(870) 816-5489
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2503027
AR
Other
Enumeration date
06/02/2023
Last updated
04/16/2025
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