Individual
JORDAN N WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4000
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
8859-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237663795
—
AR
Enumeration date
07/31/2018
Last updated
12/06/2023
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