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Individual

KELLY ANNE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
101 W WALNUT ST STE C, ROGERS, AR 72756-6662
(435) 420-4207
Mailing address
101 W WALNUT ST STE C, ROGERS, AR 72756-6662
(435) 420-4207

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9759-C
AR

Other

Enumeration date
12/03/2012
Last updated
02/18/2020
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