Organization
WIND RIVER THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESE MARIE SKINNER LCSW (CLINICAL THERAPIST/DIRECTOR)
(501) 454-5697
Entity
Organization
Contact information
Practice address
14710 CANTRELL RD STE 7, LITTLE ROCK, AR 72223-4258
(501) 454-5697
Mailing address
PO BOX 250058, LITTLE ROCK, AR 72225-0058
(501) 454-5697
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7331-C
AR
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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