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Individual

SUSAN HOLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2200 FORT ROOTS DR BLDG 170, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3158
Mailing address
4312 WOODLAWN DR, LITTLE ROCK, AR 72205-3917
(501) 663-0634

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
688-C
AR

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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