Individual
KENDRA MICHELE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3214 WINCHESTER DRIVE, BENTON, AR 72015
(501) 326-6160
(501) 326-6161
Mailing address
1900 JOHNSWOOD RD, BRYANT, AR 72022-2718
(501) 744-2985
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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