Individual
MRS. AMANDA M WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2200 FORT ROOTS DR, SOCIAL WORK SERVICE 122/NLR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-2057
(501) 257-2059
Mailing address
2200 FORT ROOTS DR, SOCIAL WORK SERVICE 122/NLR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-4416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2090 C
AR
Other
Enumeration date
07/31/2006
Last updated
02/22/2012
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