RUSSELL E DEGROAT

SPRINGDALE, AR
NPI1053675686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AR  6549-C)
Enumeration Date2012-06-28
Last Update Date2016-05-23
Business Address
-- RUSSELL E DEGROAT LCSW
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
Mailing Address
-- RUSSELL E DEGROAT LCSW
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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