Individual
MRS. CATHY TATE KINNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMSW
Contact information
Practice address
824 W MAIN ST, MAGNOLIA, AR 71753-3316
(870) 234-0495
(870) 234-9481
Mailing address
5537 BLEAUX AVE, SPRINGDALE, AR 72762-0737
(479) 872-5580
(479) 872-5581
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PLMSW
PLMSW
AR
Enumeration date
08/19/2008
Last updated
08/19/2008
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