Individual
VICKI WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
533 W WASHINGTON AVE, JONESBORO, AR 72401-2782
(870) 229-0302
(870) 520-6482
Mailing address
533 W WASHINGTON AVE, JONESBORO, AR 72401-2782
(870) 972-4939
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2623-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227439719
—
AR
Enumeration date
03/29/2007
Last updated
03/22/2019
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