Provider Demographics
NPI:1831406370
Name:MCCUNE, CAROLYN ELIZABETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:ELIZABETH
Last Name:MCCUNE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:415 N MCKINLEY ST
Mailing Address - Street 2:SUITE 1060
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3013
Mailing Address - Country:US
Mailing Address - Phone:501-537-2200
Mailing Address - Fax:501-537-2202
Practice Address - Street 1:415 N MCKINLEY ST
Practice Address - Street 2:SUITE 1060
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-3013
Practice Address - Country:US
Practice Address - Phone:501-537-2200
Practice Address - Fax:501-537-2202
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR2494-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical