Individual
PHILLIP ASHLEY BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2126 N. 1ST STREET, SUITE F, JACKSONVILLE, AR 72076
(501) 982-5000
(501) 982-5007
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72404
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
791-C
AR
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/13/2006
Last updated
04/18/2018
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