Individual
MS. RHONDA BOHANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMSW
Contact information
Practice address
703 CALVIN AVERY DR, SUITE A, WEST MEMPHIS, AR 72301-6501
(870) 732-1878
Mailing address
63 N CAROLINA ST, MARIANNA, AR 72360-2002
(870) 295-3300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186801795
—
AR
Enumeration date
01/05/2012
Last updated
01/05/2012
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