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Individual

ALICE L KEENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 967-5570
(479) 890-5364
Mailing address
350 SALEM RD, SUITE 1, CONWAY, AR 72034-7525
(501) 336-8300
(501) 329-5508

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/19/2012
Last updated
01/19/2012
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