Individual
MRS. GLENDA BEAUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4400 SHUFFIELD DR, LITTLE ROCK, AR 72205-7100
(501) 686-9300
Mailing address
9300 NORTHGATE DRIVE, LITTLE ROCK, AR 72227
(501) 223-2396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C - 892
AR
Other
Enumeration date
11/02/2006
Last updated
02/06/2008
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