Individual
MIRANDA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PENNSYLVANIA CT, LITTLE ROCK, AR 72223
(501) 213-7584
Mailing address
3214 WINCHESTER, BENTON, AR 72015-2929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6158-C
AR
Other
Enumeration date
06/18/2009
Last updated
06/18/2018
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