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Individual

JENNIE LYNN KILLION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAC

Contact information

Practice address
2301 W WALNUT ST, SUITE 7, ROGERS, AR 72756-3586
(479) 936-5944
Mailing address
4111 W MOSSY ROCK DR, FAYETTEVILLE, AR 72704-6392
(479) 442-7480

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A0907076
AR

Other

Enumeration date
09/22/2009
Last updated
09/22/2009
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