Individual
ADAM PERSENAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1441 GENERAL FAGAN DR, PRAIRIE GROVE, AR 72753-7001
(479) 879-5916
Mailing address
1441 GENERAL FAGAN DR, PRAIRIE GROVE, AR 72753-7001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9453-C
AR
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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