Individual
SHAWNTALA ANTOINETTE RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Mailing address
1604 W 58TH ST, NORTH LITTLE ROCK, AR 72118-2912
(501) 812-0507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2109-C
AR
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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