Individual
MS. THERESA LYNN BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2200 FORT ROOTS DRIVE, NORTH LITTLE ROCK, AR 72114
(501) 257-1000
(501) 257-1421
Mailing address
72 PIN OAK LOOP, MAUMELLE, AR 72113-6803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1435-M
AR
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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