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1952683377
VAN BIVENS
FORT SMITH, AR
NPI
1952683377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 3250-C)
Enumeration Date
2011-09-12
Last Update Date
2013-04-17
Business Address
-- VAN BIVENS LCSW
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
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Mailing Address
-- VAN BIVENS LCSW
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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