Individual provider · NPI-1

Sidney Joseph Badeaux, MSW

Social Worker, Clinical · North Little Rock, AR

NPI number1073610317
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1073610317
Entity type
Individual (NPI-1)
Name
Mr. Sidney Joseph Badeaux
Credential
MSW
Sex
Male
Sole proprietor
No
Enumeration date
Sep 20, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6801068509MIYes

Practice location

2220 Ft. Roots Dr
North Little Rock, AR 72114

Phone 501-257-2311 · Fax 501-257-2308

Mailing address

45 Berney Way Dr
Little Rock, AR 72223-9112

Phone 501-257-2311 · Fax 501-257-2308

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