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1053353003
KATHY ALENE ENNES
FAYETTEVILLE, AR
NPI
1053353003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 1809-C)
Enumeration Date
2006-06-12
Last Update Date
2016-07-13
Business Address
-- KATHY ALENE ENNES LCSW
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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Mailing Address
-- KATHY ALENE ENNES LCSW
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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