Individual
MRS. JOANNA MICHELLE CANTRELL KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSE, M.ED
Contact information
Practice address
221 LINDLEY LN, NEWPORT, AR 72112-4954
(479) 523-2124
(870) 523-5168
Mailing address
221 LINDLEY LN, NEWPORT, AR 72112-4954
(479) 523-2124
(870) 523-5168
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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