Individual
MRS. CARRIE MOFFITT-REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 S 3RD AVE, PIGGOTT, AR 72454-2634
(870) 598-0306
(870) 598-0328
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173433795
—
AR
01
—
5A132
BCBS
AR
Enumeration date
11/09/2006
Last updated
05/23/2018
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