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Individual

KIMBERLY BUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2303 BEACON CIRCLE DRIVE, ROGERS, AR 72758-6433
(479) 715-9800
(479) 936-8196
Mailing address
2303 BEACON CIRCLE DRIVE, ROGERS, AR 72758-6433
(479) 409-8661
(479) 936-8196

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1515 -C
AR

Other

Enumeration date
05/06/2016
Last updated
05/06/2016
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