Individual
SAVANNAH GRACE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 HICKORY ST, ARKADELPHIA, AR 71923-5040
(870) 464-1337
Mailing address
702 HICKORY ST, ARKADELPHIA, AR 71923-5040
(870) 464-1337
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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