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1215567128
KAITLYN GARDNER
FORT SMITH, AR
NPI
1215567128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A2001192)
Enumeration Date
2020-01-20
Last Update Date
2022-12-12
Business Address
KAITLYN GARDNER LPC
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
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Mailing Address
KAITLYN GARDNER LPC
2408 S 51ST CT STE G
FORT SMITH, AR 72903-3666
Phone number: 479-323-2424
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