| Doctor Name: | KELLIE LYNN LETBETTER |
| NPI Number: | 1336380559 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 2168-M |
| Business Practice Address: | 503 Se Lindsey St Hoxie, AR - 724332224 |
| Business Phone Number: | 8708861333 |
| Business Fax Number: | 8708861334 |
| Mailing Address: | 503 S E Lindsey St, HOXIE |
| State: | AR |
| Postal Code: | 72433 |
| Phone Number: | 8708861333 |
| Fax Number: | 8708861334 |
| NPI Enumeration Date: | 03/18/2009 |
| NPI Last Update Date: | 03/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2168-M |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |