Individual
KENJARVIS CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
209 S LOCKARD ST, BLYTHEVILLE, AR 72315-2541
(870) 763-2139
Mailing address
209 S LOCKARD ST, BLYTHEVILLE, AR 72315-2541
(870) 763-2139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8109-C
AR
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/19/2016
Last updated
10/24/2024
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