Individual
MANDER HEATH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3901 MCCAIN PARK DR STE 102, NORTH LITTLE ROCK, AR 72116-7849
(501) 771-8261
(501) 771-8263
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(801) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8065-M
AR
1041C0700X
Clinical Social Worker
Primary
8065-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197380795
—
AR
Enumeration date
07/20/2010
Last updated
02/11/2025
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