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Individual

MRS. INGER WARREN NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1285 E MILLSAP RD, FAYETTEVILLE, AR 72703-5179
(479) 502-2095
(479) 521-8181
Mailing address
C/O CHRISTIAN LIFE CATHEDRAL, 1285 E MILLSAP RD, FAYETTEVILLE, AR 72703
(479) 502-2095
(479) 521-8181

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
947-C
AR
1041C0700X
Clinical Social Worker
Primary
947-C
AR

Other

Enumeration date
09/23/2010
Last updated
03/05/2024
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