Individual
NICHOLLE DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2215 E OAK ST STE 1, CONWAY, AR 72032-4644
(501) 336-0511
(501) 336-4037
Mailing address
2215 E OAK ST STE 1, CONWAY, AR 72032-4644
(501) 336-0511
(501) 336-4037
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3785-C
AR
Other
Enumeration date
09/10/2021
Last updated
07/15/2022
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