Individual
KATIE TANKERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3130 E RACE AVE, SEARCY, AR 72143-4867
(501) 268-3232
Mailing address
3130 E RACE AVE, SEARCY, AR 72143-4867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8852-C
AR
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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