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Individual

MR. BENJAMIN REESE MERRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PLMSW

Contact information

Practice address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72404
(870) 933-6886
(870) 933-9395
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72404
(870) 933-6886
(870) 933-9395

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
05/22/2012
Last updated
06/16/2015
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