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LISA AUSTION LMSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1598206120

Individual Registrant:
 LISA  AUSTION LMSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
63 N CAROLINA ST  MARIANNA, AR 72360-2002 US
Tel: 870-295-3300  Fax: 870-295-6153

Contact information for business:
703 CALVIN AVERY DR  WEST MEMPHIS, AR 72301-6501 US
Tel: 870-732-1878  Fax: 870-702-7111

Registration Information:
NPI: 1598206120
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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