Individual
JENNIFER ELAINE LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 872-2441
Mailing address
555 N WOODLAWN ST, WICHITA, KS 67208-3646
(316) 685-1821
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
4638
KS
Other
Enumeration date
11/02/2007
Last updated
10/17/2017
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