Individual
LAUREN DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
533 W SELLE DR, FAYETTEVILLE, AR 72701-6902
(479) 462-7324
Mailing address
533 W SELLE DR, FAYETTEVILLE, AR 72701-6902
(479) 462-7324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3021-C
AR
Other
Enumeration date
12/01/2020
Last updated
12/03/2020
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