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Individual

MRS. DEANNA KELLEY ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHPP

Contact information

Practice address
609 W 3RD ST, IMBODEN, AR 72434-9099
(870) 869-2385
(870) 869-2685
Mailing address
5537 BLEAUX AVE, SPRINGDALE, AR 72762-0737
(479) 872-5580
(479) 872-5581

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/22/2008
Last updated
09/22/2008
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