Individual
RONDA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Mailing address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2223-M
AR
1041C0700X
Clinical Social Worker
Primary
3251-C
AR
Other
Enumeration date
03/09/2009
Last updated
11/05/2015
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