Individual
MRS. LAQUITA SHANA NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1920 CONGO RD STE A, BENTON, AR 72015-2884
(501) 425-6476
(501) 358-3095
Mailing address
1920 CONGO RD STE A, BENTON, AR 72015-2884
(501) 425-6476
(501) 358-3095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5133-C
AR
Other
Enumeration date
06/20/2011
Last updated
08/02/2020
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