Individual
MRS. VALERIE D WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
119 HIGHWAY 463 S, TRUMANN, AR 72472-2604
(870) 819-1876
Mailing address
119 HIGHWAY 463 S, TRUMANN, AR 72472-2604
(870) 819-1876
(870) 418-1069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2091-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227728719
—
AR
01
—
5R939
BCBS
AR
Enumeration date
01/24/2007
Last updated
10/01/2024
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