Mr. KENNETH WAYNE BABCOCK -- MSW,LICSW, QCSW,DCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1427355312- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSW,LICSW, QCSW,DCSW
- Status
- Active
Contact & Location
- Address
- 265 NONNAMAKER DR, FAYETTEVILLE, AR, 727017160
- Phone
- (425) 238-4883
Specialties & Taxonomies
Social Worker, Clinical
Primary License: WA #lw60176690