Individual
MRS. SUSANNA HUMBARD RONGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2000 S PROMENADE BLVD, ROGERS, AR 72758-9073
(479) 427-7722
(417) 350-1935
Mailing address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
(417) 322-6622
(417) 350-1935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
916-C
AR
163WP0200X
Pediatric Registered Nurse
R49764
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203132795
—
AR
Enumeration date
06/30/2010
Last updated
09/28/2021
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