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Individual

NINA HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3358 S 2ND ST STE A-C, CABOT, AR 72023-7873
(501) 286-6053
(501) 286-6090
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
(501) 663-2234

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4236-C
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261503719
AR
Enumeration date
10/22/2015
Last updated
11/17/2021
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