Individual
MS. JUDITH L. LIEBLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
125 DONS WAY, HOT SPRINGS, AR 71913-3423
(501) 624-7111
(501) 620-5109
Mailing address
125 DONS WAY, HOT SPRINGS, AR 71913
(501) 620-5130
(501) 620-5109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
961-B
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
Enumeration date
02/09/2006
Last updated
12/19/2008
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