Individual
DANA C GULLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3357
Mailing address
PO BOX 15968, LITTLE ROCK, AR 72231-5968
(501) 221-1843
(501) 221-2376
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6518-M
AR
1041C0700X
Clinical Social Worker
Primary
6518-C
AR
Other
Enumeration date
09/27/2013
Last updated
03/17/2018
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