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Individual

MRS. KIMBERLY RUTH HON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHPP, AA

Contact information

Practice address
2424 W MAIN ST, RUSSELLVILLE, AR 72801-2531
(870) 367-2141
(870) 367-2103
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
08/28/2008
Last updated
08/28/2008
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