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Individual

JENNIFER MOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2230 HARRISON ST, BATESVILLE, AR 72501-7417
(870) 698-2100
(870) 698-0109
Mailing address
2230 HARRISON ST, BATESVILLE, AR 72501-7417
(870) 698-2100
(870) 698-0109

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7793-C
AR

Other

Enumeration date
09/30/2011
Last updated
01/11/2016
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