Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 8354-M | AR |
NPI | 1003293556 |
---|---|
Provider Name | Airity C Hesington |
First Address | Springdale, AR 72762-6683 |
Second Address | Fayetteville, AR 72703-1822 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2015 |
Last Update Date | 01/12/2017 |