Individual
OTTO ROLLWAGE KIRKPATRICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
701 PHILLIPS PL, HUNTSVILLE, AR 72740-6266
(475) 750-2020
(479) 738-1132
Mailing address
PO BOX 6430, SPRINGDALE, AR 72766-6430
(479) 750-2020
(479) 738-1132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
970-C
AR
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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