Individual
MARY ANNA TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2003 SE WALTON BLVD, BENTONVILLE, AR 72712
(479) 725-6000
(479) 750-4843
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 614-2006
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8070-M
AR
1041C0700X
Clinical Social Worker
Primary
8070C
AR
171M00000X
Case Manager/Care Coordinator
—
AR
Other
Enumeration date
09/18/2017
Last updated
11/19/2021
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