Individual
MARY ANN GINETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 SAINT VINCENT CIR, SUITE 210, LITTLE ROCK, AR 72205-5405
(501) 552-4777
(501) 558-4570
Mailing address
701 N UNIVERSITY AVE, SUITE 201, LITTLE ROCK, AR 72205-2936
(501) 224-1690
(501) 224-1927
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
785-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05100011600
QUALCHOICE
AR
Enumeration date
11/17/2005
Last updated
04/18/2008
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