Individual
MRS. DEDRA MCKENZIE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2908 HAWKINS DR, SEARCY, AR 72143-4802
(501) 203-0055
(501) 203-0060
Mailing address
2908 HAWKINS DR, SEARCY, AR 72143-4802
(501) 203-0055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
7949-M
AR
1041C0700X
Clinical Social Worker
Primary
7949-C
AR
Other
Enumeration date
06/22/2016
Last updated
08/07/2019
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