Ginette, Mary Ann

Ginette, Mary Ann is an individual health care provider with primary practice located at 1 Saint Vincent Cir Suite 210, Little Rock AR 72205-5405. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ginette, Mary Ann can be contacted via phone (501) 552-4777.

Contact Information

Primary practice address
1 Saint Vincent Cir Suite 210 Little Rock AR 72205-5405
Phone: (501) 552-4777
Fax: (501) 558-4570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 785-C Arkansas

Profile Details

NPI number 1639151467
LBN Legal business name Ginette, Mary Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Apr 18th, 2008 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639151467 NPPES
Arkansas Other 05100011600 QUALCHOICE

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