Individual
JIMMIE ANNETTE WOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 N 19TH ST, FORT SMITH, AR 72901-3319
(479) 785-4083
(479) 668-2059
Mailing address
615 N 19TH ST, FORT SMITH, AR 72901-3319
(479) 785-4083
(479) 668-2059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2387-C
AR
Other
Enumeration date
07/02/2007
Last updated
12/20/2013
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