Individual
AUDREY ANN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2508 SE 20TH ST, BENTONVILLE, AR 72712-4008
(479) 750-2020
(479) 872-2441
Mailing address
PO BOX 6430, SPRINGDALE, AR 72766-6430
(479) 750-2020
(479) 872-2441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3018-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X932
AR BCBS
AR
Enumeration date
10/04/2006
Last updated
06/07/2013
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