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1427355312
KENNETH WAYNE BABCOCK
FAYETTEVILLE, AR
NPI
1427355312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA lw60176690)
Enumeration Date
2011-02-11
Last Update Date
2012-04-09
Business Address
Mr. KENNETH WAYNE BABCOCK MSW,LICSW, QCSW,DCSW
265 NONNAMAKER DR
FAYETTEVILLE, AR 72701-7160
Phone number: 425-238-4883
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Mailing Address
Mr. KENNETH WAYNE BABCOCK MSW,LICSW, QCSW,DCSW
265 NONNAMAKER DR
FAYETTEVILLE, AR 72701-7160
Phone number: 425-238-4883
Copy
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