Individual
KELLY NICHOLE LENDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1101 MORGAN STREET, PARAGOULD, AR 72450-3949
(870) 335-9483
(870) 335-9483
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72405-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8367-M
AR
1041C0700X
Clinical Social Worker
Primary
8367-C
AR
Other
Enumeration date
08/12/2014
Last updated
11/23/2020
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