Individual
MRS. CRISTY MARIE BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMLSW
Contact information
Practice address
4701 FAIRWAY AVE, NORTH LITTLE ROCK, AR 72116-8066
(501) 771-8261
Mailing address
4701 FAIRWAY AVE, NORTH LITTLE ROCK, AR 72116-8066
(501) 771-8261
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8412-C
AR
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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