Individual
JEFFREY DEAN LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1355 TATE AVE, MAMMOTH SPRING, AR 72554-8064
(870) 625-0273
(870) 625-0275
Mailing address
2012 HIGHWAY 62 412, HIGHLAND, AR 72542-9477
(870) 856-3337
(870) 856-3334
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9494-M
AR
1041C0700X
Clinical Social Worker
Primary
9494-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234622719
—
AR
Enumeration date
05/16/2019
Last updated
12/22/2023
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