Individual
LANORA JAMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 N WASHINGTON AVE, EL DORADO, AR 71730-5616
(870) 863-4611
(870) 863-4962
Mailing address
602 N WALTON BLVD, BENTONVILLE, AR 72712-4576
(479) 464-1060
(479) 271-6307
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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