Individual
KATIE BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2414 S 57TH ST STE 101, FORT SMITH, AR 72903-3855
(479) 280-9980
(501) 421-2336
Mailing address
PO DRAWER 2109, RUSSELLVILLE, AR 72811
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12115-M
AR
104100000X
Social Worker
PLMSW
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283635795
—
AR
Enumeration date
10/28/2021
Last updated
05/22/2023
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