Individual
CHRISTIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4701 FAIRWAY AVE, NORTH LITTLE ROCK, AR 72116-8066
(501) 771-8261
(501) 771-8263
Mailing address
4701 FAIRWAY AVE STE B, N LITTLE ROCK, AR 72116-8069
(501) 771-8261
(501) 771-8263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8406-C
AR
1041S0200X
School Social Worker
8406-M
AR
Other
Enumeration date
05/05/2017
Last updated
04/22/2020
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