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1053912360
KAITLYN VICTORIA SMITH
FAYETTEVILLE, AR
NPI
1053912360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: AR 10167)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2020-11-03
Last Update Date
2023-09-11
Business Address
KAITLYN VICTORIA SMITH
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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Mailing Address
KAITLYN VICTORIA SMITH
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number:
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