Individual
MARY KATHERINE BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E ZION RD, FAYETTEVILLE, AR 72703-5013
(479) 579-4647
Mailing address
1111 E ZION RD, FAYETTEVILLE, AR 72703-5013
(479) 579-4647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2310025
AR
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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