Individual
AUTUMN SPAINHOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 SE 28TH ST STE 3, BENTONVILLE, AR 72712-3206
(479) 403-2915
Mailing address
2479 E FERGUSON AVE, FAYETTEVILLE, AR 72703-4347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2503001
AR
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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