Individual
LISA ANN SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 PHOENIX AVE STE B, FORT SMITH, AR 72903-5092
(479) 785-9091
(479) 782-3415
Mailing address
6601 PHOENIX AVE STE B, FORT SMITH, AR 72903-5092
(479) 785-9091
(479) 782-3415
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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