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Organization
KERRY UNDERWOOD
Active
Organization
KERRY UNDERWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JEPPSEN (PARTNER)
(479) 226-8403
Entity
Organization
Contact information
Practice address
5401 ROGERS AVE, SUITE 200, FORT SMITH, AR 72903-3745
(479) 226-8403
(479) 250-0334
Mailing address
5401 ROGERS AVE, SUITE 200, FORT SMITH, AR 72903-3745
(479) 226-8403
(479) 250-0334
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
A1101002
AR
Other
Enumeration date
11/04/2015
Last updated
03/09/2017
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