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Individual

KRISTINA M DODSON DUPREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6701 HIGHWAY 67, BUILDING 4, BENTON, AR 72015
(501) 315-3344
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7591-C
AR
171M00000X
Case Manager/Care Coordinator
AR

Other

Enumeration date
05/25/2011
Last updated
06/27/2019
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