Individual
BETH BORNE' KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7345 HIGHWAY 62 W, GASSVILLE, AR 72635-8636
(870) 435-5511
(870) 435-5513
Mailing address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 435-5511
(870) 435-5513
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1879C
AR
Other
Enumeration date
01/12/2009
Last updated
03/09/2011
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