Provider Demographics
NPI:1306000385
Name:ORR, MARY B (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:B
Last Name:ORR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2519 WOODLAND BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:HEBER SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72543-6232
Mailing Address - Country:US
Mailing Address - Phone:501-362-6653
Mailing Address - Fax:
Practice Address - Street 1:1710 HARRISON STREET
Practice Address - Street 2:WHITE RIVER MEDICAL CENTER, SENIOR HAVEN UNIT
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501
Practice Address - Country:US
Practice Address - Phone:870-262-1223
Practice Address - Fax:870-262-1468
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1397-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical