Individual
NANCY KERRENCE MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5905 FOREST PL, LITTLE ROCK, AR 72207-5244
(501) 777-3200
Mailing address
5905 FOREST PL, LITTLE ROCK, AR 72207-5244
(501) 777-3200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9741-M
AR
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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