Individual
ANDREA M EDGMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
313 S ROGERS ST STE C, CLARKSVILLE, AR 72830-3741
(479) 214-0456
Mailing address
299 COUNTY ROAD 3299, CLARKSVILLE, AR 72830-8268
(479) 214-0456
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7945-M
AR
1041C0700X
Clinical Social Worker
Primary
7945-C
AR
Other
Enumeration date
06/26/2015
Last updated
09/08/2022
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