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Individual

LAKIA LYNN AYTCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1014 MAIN ST, CONWAY, AR 72032-5426
(501) 336-0511
(501) 336-4037
Mailing address
1014 MAIN ST, CONWAY, AR 72032-5426
(501) 336-0511
(501) 336-4037

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4556-C
AR

Other

Enumeration date
05/16/2011
Last updated
05/08/2014
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