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1912159831
NICKI SHAUNTEL KINLEY
BRYANT, AR
NPI
1912159831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
104100000X Social Worker
(Licence: AR 2390-C)
Enumeration Date
2008-10-22
Last Update Date
2023-06-08
Business Address
NICKI SHAUNTEL KINLEY LCSW
209 ROYA LN STE 4
BRYANT, AR 72022-2669
Phone number: 501-350-9660
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Mailing Address
NICKI SHAUNTEL KINLEY LCSW
PO BOX 277
BRYANT, AR 72089-0277
Phone number: 501-350-9660
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