Organization
GRACE THERAPEUTICS OF ARKANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLEVELON LASKER LPC (OWNER)
(870) 623-6299
Entity
Organization
Contact information
Practice address
1912 WASHINGTON AVE, CONWAY, AR 72032-2729
(870) 623-6299
Mailing address
1912 WASHINGTON AVE, CONWAY, AR 72032-2729
(870) 623-6299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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