Individual
CHRISTAL A KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 N COLLEGE ST, HUNTSVILLE, AR 72740-9672
(479) 738-2878
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
11358-C
AR
Other
Enumeration date
03/21/2022
Last updated
06/17/2024
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