BLAKE SHELLY

FORT SMITH, AR
NPI1134855026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: AR  1-12-11455)
Enumeration Date2022-07-25
Last Update Date2022-07-25
Business Address
BLAKE SHELLY
5604 ELLSWORTH RD
FORT SMITH, AR 72903-3224
Phone number: 479-926-4673
Mailing Address
BLAKE SHELLY
PO BOX 10921
FORT SMITH, AR 72917-0921
Phone number:
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