Individual
PHILLIP MYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
204 EXECUTIVE CT STE 302, LITTLE ROCK, AR 72205-4551
(501) 744-4242
Mailing address
204 EXECUTIVE CT STE 302, LITTLE ROCK, AR 72205-4551
(501) 744-4242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8052-C
AR
1041S0200X
School Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2015
Last updated
10/25/2021
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