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Individual

VICKY D VALENTINE-PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
905 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-5338
(870) 735-5260
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
9184-M
AR
104100000X
Social Worker
1041C0700X
Clinical Social Worker
6633
TN
1041C0700X
Clinical Social Worker
Primary
9184-C
AR

Other

Enumeration date
09/09/2013
Last updated
10/19/2018
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