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Individual

MRS. ASHLEY D WHITAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, CCM

Contact information

Practice address
1707 LINWOOD DR, PARAGOULD, AR 72450-5364
(870) 476-5823
Mailing address
2104 N 8 1/2 ST, PARAGOULD, AR 72450-7028
(870) 476-5823

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
2753-B
AR
104100000X
Social Worker
Primary
5387-M
AR

Other

Enumeration date
09/16/2008
Last updated
03/24/2022
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