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Individual

SHANTE MORMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, C-DBT, CGP

Contact information

Practice address
400 W CAPITOL AVE STE 1700, LITTLE ROCK, AR 72201-3438
(501) 209-7522
Mailing address
PO BOX 1283, BENTON, AR 72018-1283
(501) 209-7522

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5030-C
AR

Other

Enumeration date
09/29/2022
Last updated
11/30/2024
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