Individual
DR. MARY WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
1811 EXECUTIVE SQ, JONESBORO, AR 72401-6086
(870) 305-4541
Mailing address
1811 EXECUTIVE SQ, JONESBORO, AR 72401-6086
(870) 305-4541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
116L
AR
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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