Individual
KAILEE BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1116 S WALTON BLVD STE 201, BENTONVILLE, AR 72712-6107
(479) 316-7770
Mailing address
1908 S 12TH ST, ROGERS, AR 72758-6306
(479) 259-1835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10070-C
AR
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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