Individual
SUSAN KILPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 S RAINBOW RD, ROGERS, AR 72758-8821
(479) 422-5559
(479) 587-1203
Mailing address
1861 N TRILLIUM LN, FAYETTEVILLE, AR 72704-6601
(479) 422-5559
(479) 587-1203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/24/2016
Last updated
04/15/2016
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