Organization
MWL CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WARREN LUNDY L.C.S.W. P.A. (OWNER)
(501) 351-1510
Entity
Organization
Contact information
Practice address
1100 N UNIVERSITY AVE, 108, LITTLE ROCK, AR 72207-6343
(501) 351-1510
Mailing address
107 SECLUDED CIR, LITTLE ROCK, AR 72210-1734
(501) 351-1510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1151-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1511-C
LICENSE
AR
Enumeration date
06/15/2007
Last updated
08/22/2020
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