Individual
KERRI VOLLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2592 N GREGG AVE, SUITE 16, FAYETTEVILLE, AR 72703-5543
(479) 582-5565
Mailing address
1373 E CARDINAL DR, FAYETTEVILLE, AR 72703-4153
(479) 582-5565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1622-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
5W671
AR
Enumeration date
12/04/2006
Last updated
07/08/2007
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