Individual
SAMANTHA ANN MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1704 HWY 69 WEST, TRUMANN, AR 72472-2029
(870) 483-4003
(870) 483-4009
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6520-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192120795
—
AR
01
—
5BJ46
BCBS
AR
Enumeration date
06/11/2012
Last updated
11/10/2016
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