Individual
MARY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20400 COLONEL GLENN RD, LITTLE ROCK, AR 72210-5323
(501) 821-5500
(501) 821-5580
Mailing address
20400 COLONEL GLENN RD, LITTLE ROCK, AR 72210-5323
(501) 821-5500
(501) 821-5580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1803031
AR
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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