Individual
MADOLYN CLAIRE STATLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12921 CANTRELL RD STE 105, LITTLE ROCK, AR 72223-1798
(501) 891-5492
Mailing address
12921 CANTRELL RD STE 105, LITTLE ROCK, AR 72223-1798
(501) 891-5492
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11446-C
AR
1041C0700X
Clinical Social Worker
11446-M
AR
Other
Enumeration date
10/18/2021
Last updated
06/03/2024
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