Individual
KACY JAE MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 DEVELOPMENT DR, YELLVILLE, AR 72687
(870) 449-7050
Mailing address
PO BOX 662, YELLVILLE, AR 72687-0662
(870) 449-7050
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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