Individual
MRS. JO WALKER HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2200 FT. ROOTS DR., LITTLE ROCK, AR 72114
(870) 881-4477
(870) 881-4442
Mailing address
141 MEADOW VIEW DR., EL DORADO, AR 71730
(870) 863-3235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-1090
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U291
BCBS PROVIDER NUMBER
—
Enumeration date
09/07/2006
Last updated
07/08/2007
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