Individual
KACI MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W WALNUT ST, STE 3100, ROGERS, AR 72756-3521
(479) 631-9996
Mailing address
602 N WALTON BLVD, BENTONVILLE, AR 72712-4576
(479) 464-1060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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