Individual
KEISHA HANKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 MORROW ST N, MENA, AR 71953-2516
(479) 243-2380
(479) 243-2386
Mailing address
311 MORROW ST N, MENA, AR 71953-2516
(479) 243-2380
(479) 243-2386
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10-06EI
AR
Other
Enumeration date
02/29/2012
Last updated
05/10/2016
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