Individual
KATHLEEN RENEE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 CHESTNUT ST, VAN BUREN, AR 72956-5321
(479) 471-9600
Mailing address
2010 CHESTNUT ST, VAN BUREN, AR 72956-5321
(479) 471-9600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
07/12/2022
Last updated
05/05/2023
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