Individual
AVERY BILLUPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10976 BLUE SKY RD, FARMINGTON, AR 72730-9000
(214) 707-2619
Mailing address
10976 BLUE SKY RD, FARMINGTON, AR 72730-9000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904019586
VA
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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