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Individual

MS. KENDRA ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPE

Contact information

Practice address
407 CARSON ST, HOT SPRINGS, AR 71901-6852
(501) 620-5567
(501) 620-5109
Mailing address
407 CARSON ST, HOT SPRINGS, AR 71901-6852
(501) 620-5567
(501) 620-5109

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
013-E
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116399726
AR
Enumeration date
04/07/2006
Last updated
12/19/2008
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