Individual
JULIAN PETER BESWICK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
105 N MILL AVE, FAYETTEVILLE, AR 72701-4273
(479) 332-0800
Mailing address
569 S HAPPY HOLLOW RD, FAYETTEVILLE, AR 72701-4519
(479) 263-8444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11965-M
AR
Other
Enumeration date
03/06/2023
Last updated
03/13/2023
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