Degroat, Russell E

Degroat, Russell E is an individual health care provider with primary practice located at 2400 S 48Th St , Springdale AR 72762-6683. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Degroat, Russell E can be contacted via phone (479) 750-2020.

Contact Information

Primary practice address
2400 S 48Th St Springdale AR 72762-6683
Phone: (479) 750-2020
Fax: (479) 750-4843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6549-C Arkansas

Profile Details

NPI number 1053675686
LBN Legal business name Degroat, Russell E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2012
Last updated May 23rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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