Individual
CARLY LYNN BARTOW-KETTELHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1822
(479) 695-1240
(479) 695-1242
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PLMSW
AR
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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