Individual
ALLISON NICOLE DEWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3901 MCCAIN PARK DR STE 102, NORTH LITTLE ROCK, AR 72116-7849
(501) 771-8261
(501) 771-8263
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12062-M
AR
1041C0700X
Clinical Social Worker
114997
TX
1041C0700X
Clinical Social Worker
Primary
12062-C
AR
Other
Enumeration date
07/25/2022
Last updated
04/09/2025
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