Individual
SHANA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 LOCK AND DAM RD, RUSSELLVILLE, AR 72802-9725
(479) 747-5222
Mailing address
104 LOCK AND DAM RD, RUSSELLVILLE, AR 72802-9725
(479) 747-5222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26904-M
AR
Other
Enumeration date
05/11/2022
Last updated
10/14/2025
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