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Individual

KIMBERLY MARIE SHULER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
(479) 751-4898
Mailing address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
(479) 751-4898

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1222-C
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5T392
BLUE SHIELD PROVIDER #
AR
Enumeration date
07/15/2006
Last updated
08/12/2009
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