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Individual

MR. RICHARD C DAHLQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1141 E MAIN ST, SUITE 200, BATESVILLE, AR 72501-3003
(870) 793-3199
(870) 793-3151
Mailing address
1141 E MAIN ST, SUITE 200, BATESVILLE, AR 72501-3003
(870) 793-3199
(870) 793-3155

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1197-M
AR
101YM0800X
Mental Health Counselor
1197-M
AR
104100000X
Social Worker
1197-M
AR
1041C0700X
Clinical Social Worker
Primary
1197-M
AR
1041C0700X
Clinical Social Worker
2162-C
AR

Other

Enumeration date
11/21/2006
Last updated
01/19/2011
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