Individual
SHELLEY DIANE CLINGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, MSW, LCSW
Contact information
Practice address
885 W CLYDESDALE DR, FAYETTEVILLE, AR 72701-8209
(479) 444-1670
(479) 444-1675
Mailing address
885 W CLYDESDALE DR, FAYETTEVILLE, AR 72701-8209
(479) 444-1670
(479) 444-1675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2094-C
AR
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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