Individual
PEGGY LOUISE TIDMORE-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3325
(501) 257-3182
Mailing address
5401 DREHER LN, LITTLE ROCK, AR 72209-4804
(501) 257-3325
(501) 257-3182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-1435
AR
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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