Individual
MS. ALISE NICOLE ATHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20400 COLONEL GLENN RD, LITTLE ROCK, AR 72210-5323
(501) 821-5500
(501) 821-5580
Mailing address
20400 COLONEL GLENN RD, LITTLE ROCK, AR 72210-5323
(501) 837-7107
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
AR
Other
Enumeration date
07/12/2007
Last updated
01/12/2012
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