Individual
JENNIFER ELIZABETH WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 SALEM RD STE 1, CONWAY, AR 72034-6166
(501) 336-8300
(501) 327-4492
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(501) 327-4492
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12626-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299333795
—
AR
Enumeration date
04/04/2023
Last updated
02/29/2024
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