Individual
NATALIE MAZHAMBE DINECOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
444 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2900
(870) 701-0238
Mailing address
PO BOX 1060, MARSHALL, AR 72650-1060
(225) 439-0713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239965719
—
AR
Enumeration date
05/01/2018
Last updated
08/20/2021
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