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Individual

RUTH ELLEN WILKIRSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
65 E. SUNBRIDGE DRIVE, FAYETTEVILLE, AR 72703-2894
(479) 212-8519
(479) 443-4504
Mailing address
65 E. SUNBRIDGE DRIVE, FAYETTEVILLE, AR 72703-2894
(479) 212-8519
(479) 443-4504

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
8755-C
AR

Other

Enumeration date
10/30/2013
Last updated
10/06/2020
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