Individual
MR. ROBERT M STREETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
706 S MAIN ST, SUITE 1, MOUNTAIN HOME, AR 72653-4417
(870) 425-5644
(870) 424-2201
Mailing address
2153 E JOYCE BLVD, SUITE 201, FAYETTEVILLE, AR 72703-4714
(479) 575-9471
(479) 587-9392
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1768C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55048
MEDICARE ID NUMBER
—
Enumeration date
10/18/2006
Last updated
01/05/2010
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