Individual
JENNIFER JOY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 PARK ST, MC GEHEE, AR 71654-2915
(501) 313-3389
(501) 614-1609
Mailing address
3203 N COUNTY ROAD 103, MANILA, AR 72442-8086
(870) 930-4132
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0822
—
AR
Enumeration date
04/13/2022
Last updated
04/13/2022
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