Individual
KELLY LARAE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., LCSW
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 444-5065
Mailing address
3585 PASOFINO LOOP, SPRINGDALE, AR 72764-1767
(479) 228-0817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2598-C
AR
Other
Enumeration date
09/30/2008
Last updated
04/03/2025
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