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Individual

KERI ELIZABETH FORRESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1022 JONES RD STE 2, SPRINGDALE, AR 72762
(479) 310-6505
(479) 763-0059
Mailing address
1022 JONES RD STE 2, SPRINGDALE, AR 72762-0939
(479) 310-6505
(479) 763-0059

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103K00000X
Behavior Analyst
Primary
1-18-29652

Other

Enumeration date
09/17/2008
Last updated
06/11/2018
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