Individual
MS. LESA LACKEY DOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW ACSW BCD RPTS
Contact information
Practice address
11215 HERMITAGE, SUITE 200, LITTLE ROCK, AR 72211
(501) 221-2811
(501) 221-2812
Mailing address
11215 HERMITAGE, SUITE 200, LITTLE ROCK, AR 72211
(501) 221-2811
(501) 221-2812
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C574
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140706744
—
AR
Enumeration date
06/29/2006
Last updated
07/28/2010
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