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Individual

MICHAEL KIRKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
107 E CRANDALL AVE, HARRISON, AR 72601-3629
(870) 741-8484
Mailing address
107 E CRANDALL AVE, HARRISON, AR 72601-3629

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/24/2018
Last updated
04/24/2018
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