Individual
NICKI SHAUNTEL KINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
207 PROGRESS WAY STE 109, BRYANT, AR 72022-8810
(501) 574-5000
Mailing address
PO BOX 277, BRYANT, AR 72089-0277
(501) 350-9660
(501) 847-6905
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2390-C
AR
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/22/2008
Last updated
02/24/2025
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