Individual
ADRIENNE LEIGH DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 COX ST, BENTON, AR 72015-4611
(501) 776-5779
(501) 217-9757
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
(501) 325-7938
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
4101-C
AR
Other
Enumeration date
05/18/2011
Last updated
07/21/2022
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