Organization
HOME BODY HOLISTIC STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBI MOON LCSW (LICENSED CLINICAL SOCIAL WORKER)
(620) 778-0513
Entity
Organization
Contact information
Practice address
19 E MOUNTAIN ST STE 33, FAYETTEVILLE, AR 72701-6067
(479) 530-6678
Mailing address
19 E MOUNTAIN ST STE 33, FAYETTEVILLE, AR 72701-6067
(479) 530-6678
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/13/2024
Last updated
08/05/2024
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