Individual
MRS. THOMASENA LAMENA MCNUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4700W COMMERCIAL DR B, NORTH LITTLE ROCK, AR 72116-8089
(501) 727-3100
(501) 727-3100
Mailing address
4700 W COMMERCIAL DR, SUITE B1, NORTH LITTLE ROCK, AR 72116-7068
(501) 727-3100
(501) 727-3100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2058-C
AR
1041C0700X
Clinical Social Worker
Primary
LW61221460
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116378726
—
AR
Enumeration date
03/29/2007
Last updated
10/09/2023
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