Individual
MRS. JENNI SHAW FUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2003 SE WALTON BLVD, BENTONVILLE, AR 72712-3725
(479) 725-6000
Mailing address
204 S 24TH ST, ROGERS, AR 72758-1129
(479) 621-0301
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9532M
AR
1041C0700X
Clinical Social Worker
9532C
AR
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
07/21/2023
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