Individual
MRS. KENNA K WESTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4400 SHUFFIELD DR, LITTLE ROCK, AR 72205-7100
(501) 686-9330
Mailing address
14921 GORGEOUS VIEW TRL, LITTLE ROCK, AR 72210-1704
(501) 221-3982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1044C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11637626
—
AR
Enumeration date
11/01/2006
Last updated
07/08/2007
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