Individual
JULIANA M BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2305 OLD COUNTY ROAD, POCAHONTAS, AR 72455-4148
(870) 892-1005
(870) 892-0078
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72405-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8792-M
AR
1041C0700X
Clinical Social Worker
Primary
8792-C
AR
Other
Enumeration date
08/18/2016
Last updated
10/12/2020
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