Individual
JEREMY MICHAEL WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6009 CW POST RD, JONESBORO, AR 72401
(870) 932-0228
(870) 910-5689
Mailing address
6009 CW POST RD, JONESBORO, AR 72401
(870) 932-0228
(870) 910-5689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6273-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169561795
—
AR
01
—
5DD43
BCBS
AR
Enumeration date
05/15/2008
Last updated
01/19/2022
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