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Individual

MRS. ANANDA ENGBER ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
221 N EAST AVE, SUITE #102, FAYETTEVILLE, AR 72701-5226
(479) 871-1888
Mailing address
221 N EAST AVE, SUITE #102, FAYETTEVILLE, AR 72701-5226
(479) 871-1888

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW 1952-C
AR
104100000X
Social Worker
LSW-1680
HI

Other

Enumeration date
08/21/2008
Last updated
06/15/2010
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