Individual
JENNIFER CHARLEENE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1101 JACKSON ST SW, GRAVETTE, AR 72736
(479) 787-5291
(479) 344-6404
Mailing address
1101 JACKSON ST SW, GRAVETTE, AR 72736-9121
(479) 787-5291
(479) 344-6404
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2010-M
AR
Other
Enumeration date
10/22/2007
Last updated
08/08/2019
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