Individual
VIRGIL RODNEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1101 W 2ND ST, LITTLE ROCK, AR 72201-2003
(501) 257-4398
Mailing address
1105 GRAZING LN, JACKSONVILLE, AR 72076-6232
(501) 982-2426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
948-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
948-C
SOCIAL WORK LICENSE
AR
Enumeration date
09/28/2006
Last updated
07/08/2007
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