Provider Information for 1366417164
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Ms. LINDA LEE MCNELLIS LCSW
Sex: Female
NPI: 1366417164
Last Updated: 2014-06-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1366417164 | ||||||||||||
| Enumeration Date | 2006-02-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 125 DONS WAY HOT SPRINGS, AR 71913-6478 United States Phone: 501-624-7111 | Fax:501-623-5510 | ||||||||||||
| Primary Practice Address | 125 DONS WAY HOT SPRINGS, AR 71913-6478 United States Phone: 501-624-7111 | Fax:501-623-5510 | ||||||||||||
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