Individual
JENNIFER NOELLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
60350
TX
1041C0700X
Clinical Social Worker
Primary
60350
TX
Other
Enumeration date
07/18/2016
Last updated
01/31/2020
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