Organization
KATHERINE C SHOOK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE C SHOOK LCSW (PRESIDENT)
(479) 721-1788
Entity
Organization
Contact information
Practice address
307 SW 18TH ST STE 3, BENTONVILLE, AR 72712-8478
(479) 721-1788
Mailing address
PO BOX 414, GARFIELD, AR 72732-0414
(479) 721-1788
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
12/08/2023
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