Individual
LESA KILPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
790 ROBERTS DR, MONTICELLO, AR 71655-5723
(870) 367-2461
(870) 460-6133
Mailing address
790 ROBERTS DR, MONTICELLO, AR 71655-5723
(870) 367-2461
(870) 460-6133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4614-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116378726
—
AR
Enumeration date
08/03/2010
Last updated
03/08/2016
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