Individual
LEE ANN DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2001 CLUB MANOR DR STE J, MAUMELLE, AR 72113-7417
(501) 687-0488
(501) 687-0489
Mailing address
2001 CLUB MANOR DR STE J, MAUMELLE, AR 72113-7417
(501) 687-0488
(501) 687-0489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1741-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171591
MHN
—
01
—
229649
COMPSYCH
—
01
—
559944000
MAGELLAN
—
Enumeration date
07/19/2006
Last updated
07/08/2007
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