Individual
MARYANNE DENEE CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 W CHESTNUT ST, ROGERS, AR 72756-3520
(479) 346-5459
(479) 346-5954
Mailing address
2323 W CHESTNUT ST, ROGERS, AR 72756-3520
(479) 346-5459
(479) 346-5954
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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