Provider Information for 1285886192
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Mrs. JENNIFER DORREEN NELSON LCSW
Sex: Female
NPI: 1285886192
Last Updated: 2024-12-21
Certification Date: 2024-12-21
Certification Date: 2024-12-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1285886192 | ||||||||
| Enumeration Date | 2008-10-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 10515 W MARKHAM ST STE V6 LITTLE ROCK, AR 72205-2297 United States Phone: 501-960-1711 | Fax: | ||||||||
| Primary Practice Address | 10515 W MARKHAM ST STE V6 LITTLE ROCK, AR 72205-2297 United States Phone: 501-960-1711 | Fax: | ||||||||
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