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Londa Revis, LCSW
NPI 1912177486 · on the registry since 2008
Practice
- Address
- 495 Hogan Ln Ste 2
Conway, AR 72034 - Phone
- (501) 358-6695
- Fax
- (501) 358-6860
- Organisation at this address
- Tilley Family Medicine, Pa
Conway Regional Medical Center, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas