Individual
CARLY STORTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2466 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-8967
Mailing address
2466 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-8967
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2655-M
AR
1041C0700X
Clinical Social Worker
—
AR
Other
Enumeration date
07/07/2011
Last updated
12/14/2011
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