Individual
ALISSON CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MEGHAN LN, JUDSONIA, AR 72081-9302
(501) 729-4479
Mailing address
104 OLYVIA CIR, SEARCY, AR 72143-9184
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1307074
AR
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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