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Individual

MR. JARED LADANE RODGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1504 OAK HILL DR, WHITE HALL, AR 71602-8607
(501) 513-7103
Mailing address
PO BOX 20083, WHITE HALL, AR 71612-0083
(501) 513-7103

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10212-C
AR
171M00000X
Case Manager/Care Coordinator
Primary
AR

Other

Enumeration date
03/01/2017
Last updated
03/15/2026
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