Individual
JESSICA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 N COLLEGE AVE STE 5, FAYETTEVILLE, AR 72701-5343
(479) 396-8806
Mailing address
PO BOX 3845, FAYETTEVILLE, AR 72702-3845
(479) 222-1972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9158-C
AR
Other
Enumeration date
08/31/2016
Last updated
12/22/2021
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