Individual
ABESIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
20 W SOUTHERN PINES DR, PINE BLUFF, AR 71603-6926
(501) 309-8401
Mailing address
20 W SOUTHERN PINES DR, PINE BLUFF, AR 71603-6926
(501) 309-8401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301012809
MI
103TC0700X
Clinical Psychologist
Primary
97-11P
AR
Other
Enumeration date
12/27/2006
Last updated
07/09/2007
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