Individual
MOLLY CLAIRE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1101 JACKSON ST SW, GRAVETTE, AR 72736-9121
(479) 344-6714
(479) 344-6720
Mailing address
106 LION DR N, GRAVETTE, AR 72736-8621
(479) 787-8332
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9811-M
AR
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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