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PHILLIP ASHLEY BALDWIN LCSW

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1437191228

Individual Registrant:
 PHILLIP ASHLEY BALDWIN LCSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2126 N. 1ST STREET SUITE F JACKSONVILLE, AR 72076 US
Tel: 501-982-5000  Fax: 501-982-5007

Contact information for business:
1815 PLEASANT GROVE ROAD  JONESBORO, AR 72404 US
Tel: 870-933-6886  Fax: 870-933-9395

Registration Information:
NPI: 1437191228
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101Y00000XBehavioral Health & Social Service Providers
Counselor
AR791-C
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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