Individual
MARY LINDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1301 WILSON RD, LITTLE ROCK, AR 72205-6659
(501) 225-0576
(501) 225-6789
Mailing address
1301 WILSON RD, LITTLE ROCK, AR 72205-6659
(501) 225-0576
(501) 225-6789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
764-C
AR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
R13457
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093594
MHN
—
01
—
1054808
CIGNA
—
01
—
211768
VALUE OPTIONS
—
01
—
278210000
MAGELLAN
—
Enumeration date
07/24/2006
Last updated
06/12/2021
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