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Individual

MRS. ANDREA FRESH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1408 S SCHILLER ST, LITTLE ROCK, AR 72202-5817
(501) 507-0675
(501) 421-0107
Mailing address
1408 S SCHILLER ST, LITTLE ROCK, AR 72202-5817
(501) 507-0675
(501) 421-0107

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2117-C
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180635526
AR
Enumeration date
10/23/2008
Last updated
11/30/2020
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