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Individual

KELLIE JENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2705B OAK LN, VAN BUREN, AR 72956-4816
(479) 471-5950
(479) 471-5997
Mailing address
PO BOX 11818, FORT SMITH, AR 72917-1818
(479) 452-6650

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
Primary
AR

Other

Enumeration date
03/26/2024
Last updated
03/26/2024
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