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Individual

KIMBERLY ANN POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2911 LONGVIEW DR, JONESBORO, AR 72401-5911
(870) 336-0238
Mailing address
3100 APACHE DR, JONESBORO, AR 72401-7404
(870) 215-3108

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
1164957080
AR
373H00000X
Day Training/Habilitation Specialist
Primary
1164957080
AR

Other

Enumeration date
06/01/2018
Last updated
08/02/2024
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