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Individual

AMANDA TAYLOR

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) 941-9394
Mailing address
141 PONY TAIL LN, BEEBE, AR 72012-9336

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5875-C
AR

Other

Enumeration date
02/09/2023
Last updated
02/09/2023
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