Individual
ASHLEY MOZELLE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1620 S 46TH ST, FORT SMITH, AR 72903-3129
(479) 494-7889
(479) 494-7890
Mailing address
22367 WITTE FALLS LN, POTEAU, OK 74953-7801
(918) 839-7187
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9395-M
AR
1041C0700X
Clinical Social Worker
Primary
9395-C
AR
Other
Enumeration date
04/14/2019
Last updated
07/14/2022
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