Individual
NANCY SHIN-YII JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5105 SW WESTCHESTER RD, BENTONVILLE, AR 72712-7727
(479) 715-6739
Mailing address
5105 SW WESTCHESTER RD, BENTONVILLE, AR 72712-7727
(479) 715-6739
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004809
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
307875
HEALTHNET-MHN
CT
Enumeration date
02/18/2007
Last updated
10/12/2007
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