Individual
ELIZABETH NANNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Mailing address
10018 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4422
(314) 525-4420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009003094
MO
1041C0700X
Clinical Social Worker
2077-C
AR
1041C0700X
Clinical Social Worker
—
IL
Other
Enumeration date
01/30/2007
Last updated
10/29/2009
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