Individual
EMILY BARNES
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
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10269-M
AR
1041C0700X
Clinical Social Worker
Primary
10269-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264714795
—
AR
Enumeration date
04/09/2021
Last updated
02/10/2025
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