Individual
MRS. KELSEY LILLARD EMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMSW
Contact information
Practice address
2411 W. MAIN ST., JACKSONVILLE, AR 72076-8868
(501) 982-5402
(501) 533-6378
Mailing address
PO BOX 647, JACKSONVILLE, AR 72078-0647
(501) 982-5402
(501) 533-6378
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
PLMSW
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PLMSW
—
AR
Enumeration date
09/07/2017
Last updated
09/07/2017
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