Individual
DIANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 CHILDRENS WAY # 401, LITTLE ROCK, AR 72202-3500
(501) 364-3813
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1165C
AR
Other
Enumeration date
10/21/2008
Last updated
05/06/2009
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