Individual
MISS HALEY ELLYCE CREEKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2402 WILDWOOD AVE STE 115, SHERWOOD, AR 72120-6014
(501) 983-2199
Mailing address
2402 WILDWOOD AVE STE 115, SHERWOOD, AR 72120-6014
(501) 983-2199
(501) 506-3138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10096-C
AR
Other
Enumeration date
09/19/2013
Last updated
04/03/2023
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