Individual
MR. GEORGE RICHARD INGALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
628 W BROADWAY ST, SUITE 300, NORTH LITTLE ROCK, AR 72114-5544
(501) 372-4242
(501) 372-6565
Mailing address
628 W BROADWAY ST, SUITE 300, NORTH LITTLE ROCK, AR 72114-5544
(501) 372-4242
(501) 372-6565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4446C
AR
1041C0700X
Clinical Social Worker
4446C
AR
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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