Kathy Alene Ennes LCSW

NPI 1053353003 - Social Worker - 1041C0700X

NPI Details
NPI 1053353003
Gender Female
Enumeration Date 06/12/2006
Last Updated 05/19/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
60 W SUNBRIDGE DR
FAYETTEVILLE AR, 72703-1822, US
Phone (479) 695-1240
Fax (479) 750-4843
Business Location
2400 S 48TH ST
SPRINGDALE AR, 72762-6683, US
Phone (479) 750-2020
Fax (479) 750-2747
Toxanomy
Taxonomy Code 1041C0700X
License State Arkansas
License Number 1809-C
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According to our database, Kathy Alene Ennes LCSW NPI is 1053353003, taxonomy code is 1041C0700X and license number is 1809-C, license state is located at Arkansas. Kathy Alene Ennes LCSW physically located at 60 W Sunbridge Dr, Fayetteville AR, 72703-1822. NPI Number Kathy Alene Ennes LCSW has the Individual type.

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1053353003 NPI number is provided on an as is basis without warranty of any kind. 1053353003 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Alene Ennes LCSW are for informational purposes only.