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Contact Information

MYRA WOOLFOLK
12100 HIGHWAY 270
WHITE HALL, AR71602-8866
 Phone: 870-413-1973
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MYRA WOOLFOLK · (Female)

NPI Number 1558818583
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2016
Last updated 12/07/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 100
  • AR License # A-277
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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