Individual
KATELYN GRACE PAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12320 I-30 FRONTAGE RD, LITTLE ROCK, AR 72210
(501) 737-4320
Mailing address
9701 W MARKHAM ST, LITTLE ROCK, AR 72205-2123
(870) 336-1300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11373-M
AR
1041C0700X
Clinical Social Worker
Primary
11373-C
AR
1041C0700X
Clinical Social Worker
11373-M
AR
Other
Enumeration date
07/18/2022
Last updated
02/06/2025
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