Individual
ELEANOR FONDREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4001 COMMERCIAL CENTER DR STE 2, MARION, AR 72364-9616
(870) 732-7920
(870) 732-7923
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
10218-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267827795
—
AR
Enumeration date
01/28/2021
Last updated
11/18/2022
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