LISA D MEDLOCK

FORT SMITH, AR
NPI1558386797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-07-12
Last Update Date2007-07-08
Business Address
Ms. LISA D MEDLOCK MHPP
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
Mailing Address
Ms. LISA D MEDLOCK MHPP
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
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