Individual
SIERRA J KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2466 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-2747
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22809-M
AR
Other
Enumeration date
06/24/2024
Last updated
04/08/2026
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