Mary Lisa Kessler, LCSW
Social Worker, Clinical in Springdale, AR. Individual provider (NPI-1).
NPI number1760626154
StatusActive
Last updated in NPPESJul 26, 2012
Details
- NPI
- 1760626154
- Entity type
- Individual (NPI-1)
- Name
- Mary Lisa Kessler
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2009
- Last updated
- Jul 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 4605-C | AR | Yes |
| 1041C0700X | Social Worker, Clinical | I-06098 | NM |
Practice location
2400 S 48th StreetSpringdale, AR 72762
Phone 479-750-2020 · Fax 479-750-8967
Mailing address
2400 S 48th StreetSpringdale, AR 72762
Phone 479-750-2020 · Fax 479-750-8967
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