Individual
CHARLA SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5108 S U ST, FORT SMITH, AR 72903-3610
(479) 276-9900
(479) 401-2595
Mailing address
5108 S U ST, FORT SMITH, AR 72903-3610
(479) 276-9900
(479) 401-2595
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-68102
AR
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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