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Individual

MRS. KYLIE DEE MCDOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAC

Contact information

Practice address
3895 GEORGE ANDERSON RD, SPRINGDALE, AR 72764-8251
(479) 521-1532
(479) 521-9940
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
(417) 761-5065

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A1812169
AR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
232417795
AR
Enumeration date
07/26/2017
Last updated
03/12/2021
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