Individual
ANGELA SUE HECKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3111 S 70TH ST, FORT SMITH, AR 72903-5017
(479) 452-6650
(479) 452-5847
Mailing address
PO BOX 11818, FORT SMITH, AR 72917-1818
(479) 452-6650
(479) 452-5847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1389-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50917000000
QUALCHOICE
AR
01
—
5U352
BLUE CROSS
AR
Enumeration date
07/06/2006
Last updated
01/19/2018
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