Individual
MRS. AMANDA LOIS SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4354 STOCKTON DR, NORTH LITTLE ROCK, AR 72117-2917
(501) 221-1843
Mailing address
PO BOX 15968, LITTLE ROCK, AR 72231-5968
(501) 221-1843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
115983
IA
1041C0700X
Clinical Social Worker
20447
OK
1041C0700X
Clinical Social Worker
Primary
2615-C
AR
Other
Enumeration date
10/17/2012
Last updated
03/19/2026
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