Individual
KENNETHYA SMITH-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9904 MERLOT LN, NORTH LITTLE ROCK, AR 72118-1162
(870) 550-3703
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(502) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
7600-C
AR
Other
Enumeration date
05/22/2015
Last updated
03/12/2025
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