Individual
MS. DORETHA JEAN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1028 N MISSOURI ST STE 6, WEST MEMPHIS, AR 72301-2600
(870) 400-0263
(870) 400-0293
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2625C
AR
Other
Enumeration date
10/12/2006
Last updated
07/22/2022
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