Individual
MRS. MICAH N PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
177 WOODELL, CLINTON, AR 72031
(501) 745-8433
(501) 745-8453
Mailing address
2535 DONAGHEY AVE, #3532, CONWAY, AR 72032
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A0401003
AR
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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