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NPI Code Detail

MEDICARE: CHRISTIE JONES LMSW

MEDICARE: CHRISTIE JONES LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker9340MAR

General Provider Information

NPI Number : 1467580076
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIE JONES LMSW
Provider Business Mailing Address
First Line : 2400 S 48TH ST
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-6683
Country : US
Telephone Number : 479-750-2020
Fax Number : 479-750-4843
Provider Business Practice Location Address
First Line : 350 SALEM RD STE 1
Second Line :
City : CONWAY
State : AR
Zip : 72034-6166
Country : US
Telephone Number : 501-336-8300
Fax Number : 479-890-5364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 04/21/2020

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Directions to “ CHRISTIE JONES LMSW” Practice Location

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