Individual
MARY KIMBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
824 W MAIN ST, MAGNOLIA, AR 71753-3316
(870) 234-0495
(870) 234-9481
Mailing address
5537 BLEAUX AVE, SPRINGDALE, AR 72762-0737
(479) 872-5580
(479) 872-5581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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