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Individual

NOLA JAYNE MCCLELLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
307 E SEVIER ST, BENTON, AR 72015-3934
(501) 315-4224
(501) 778-0450
Mailing address
307 E SEVIER ST, BENTON, AR 72015-3934
(501) 315-4224
(501) 778-0450

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-830
AR

Other

Enumeration date
02/23/2007
Last updated
04/13/2015
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