Individual
MR. JON LUNDQUIST
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
127 E 2ND ST, SUITE B, RUSSELLVILLE, AR 72801-5143
(479) 968-3605
(479) 890-3446
Mailing address
127 E 2ND ST, SUITE B, RUSSELLVILLE, AR 72801-5143
(479) 968-3605
(479) 890-3446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-417
AR
Other
Enumeration date
01/16/2006
Last updated
07/08/2007
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