Audra Renae Prince MSW LCSW

NPI 1093804106 - Social Worker - 1041C0700X

NPI Details
NPI 1093804106
Gender Female
Enumeration Date 10/12/2006
Last Updated 07/15/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
701 E MAIN ST
SUITE 3
RUSSELLVILLE AR, 72801-5247, US
Phone (479) 498-6700
Fax
Business Location
701 E MAIN ST
SUITE 3
RUSSELLVILLE AR, 72801-5247, US
Phone (479) 498-6700
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Arkansas
License Number 2060C
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According to our database, Audra Renae Prince MSW LCSW NPI is 1093804106, taxonomy code is 1041C0700X and license number is 2060C, license state is located at Arkansas. Audra Renae Prince MSW LCSW physically located at 701 E Main St, Russellville AR, 72801-5247. NPI Number Audra Renae Prince MSW LCSW has the Individual type.

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1093804106 NPI number is provided on an as is basis without warranty of any kind. 1093804106 is maintained by the National Plan & Provider Enumeration System. The contents of Audra Renae Prince MSW LCSW are for informational purposes only.