Individual
JESSICA MADALYN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
307 E SEVIER ST, BENTON, AR 72015-3934
(501) 326-6709
(501) 778-0450
Mailing address
307 E SEVIER ST, BENTON, AR 72015-3934
(501) 326-6709
(501) 778-0450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1675-C
AR
Other
Enumeration date
05/07/2007
Last updated
04/13/2015
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