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Individual

KELLI D PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHPP

Contact information

Practice address
1316 MAIN ST, VAN BUREN, AR 72956-4557
(479) 471-6892
(479) 471-6859
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
09/03/2010
Last updated
09/03/2010
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