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MS. WINONA GAYLE CONNOR LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1124281209
Individual Registrant:MS. WINONA GAYLE CONNOR LCSW
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1000 E MAIN ST LAMAR, AR 72846-7401 US
Tel: 479-733-0400 Fax: --
Tel: 479-733-0400 Fax: --
Contact information for business:
505 W GRAND AVE HOT SPRINGS, AR 71901-3931 US
Tel: 501-623-3700 Fax: --
Tel: 501-623-3700 Fax: --
Registration Information:
NPI: 1124281209
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | AR | 2052-C |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 236859719 | AR | 05 | |
| CAQH | 14189573 | AR | 01 |
| BCBS | 5EC12 | AR | 01 |
