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Individual

MICHELLE E EDGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 PEARSON, BENTON, AR 72015-4436
(501) 315-4224
(501) 703-0871
Mailing address
110 PEARSON, BENTON, AR 72015-4436
(501) 315-4224
(501) 703-0871

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/17/2015
Last updated
10/15/2019
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