Individual
MR. DANE PAUL CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2200 FORT ROOTS DR, UNIT 2H, N LITTLE ROCK, AR 72114-1709
(501) 257-3461
Mailing address
15 CHELSEA RD, LITTLE ROCK, AR 72212-3723
(501) 223-8417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-693
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261QM0801X
MENTAL HEALTH
AR
01
—
273R00000X
PSYCHIATRIC UNIT
AR
Enumeration date
08/22/2006
Last updated
07/08/2007
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