Individual
SHEILA JO KORNBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
609 SW 8TH ST, SUITE 600, BENTONVILLE, AR 72712-7886
(479) 418-1087
Mailing address
609 SW 8TH ST, SUITE 600, BENTONVILLE, AR 72712-7886
(479) 418-1087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW 2224-C
AR
104100000X
Social Worker
—
—
Other
Enumeration date
11/09/2007
Last updated
02/26/2014
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