Individual
JAMES ANTHONY DORETHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,LCSW
Contact information
Practice address
405 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2910
(870) 508-8614
(501) 257-3164
Mailing address
2599 TUCKER CEMETARY RD, GASSVILLE, AR 72635-8730
(870) 508-8614
(501) 257-3164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1566-C
AR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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