Individual
AIRIE SKROCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
110 E ALICE ST, FAYETTEVILLE, AR 72703-3801
(479) 530-9727
Mailing address
110 E ALICE ST, FAYETTEVILLE, AR 72703-3801
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2303021
AR
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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