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Individual

HEATHER R COLLIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
503 SE LINDSEY ST, HOXIE, AR 72433-2224
(501) 336-8300
(479) 890-5364
Mailing address
PO BOX 299, HOXIE, AR 72433-0299
(870) 886-1333
(870) 886-1334

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
6908M
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
195452795
AR
Enumeration date
01/24/2013
Last updated
08/01/2022
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