Individual
REGAN CULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 HOSPITAL DR, MORRILTON, AR 72110
(501) 354-1561
Mailing address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 967-5570
(501) 354-1564
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PLMSW
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218156795
—
AR
Enumeration date
06/14/2011
Last updated
12/28/2023
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