Individual
PAUL WESLEY RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5111 ROGERS AVE, SUITE 504, FORT SMITH, AR 72903-2047
(479) 484-1111
(479) 484-1111
Mailing address
5111 ROGERS AVE, SUITE 504, FORT SMITH, AR 72903-2047
(479) 484-1111
(479) 484-1111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
237C
AR
106H00000X
Marriage & Family Therapist
M980314
AR
Other
Enumeration date
05/17/2008
Last updated
05/17/2008
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