Individual
KIMBERLY LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 HALSTED CIR STE 2, ROGERS, AR 72756-3144
(479) 903-2566
Mailing address
8 HALSTED CIR STE 2, ROGERS, AR 72756-3144
(479) 903-2566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1410084
AR
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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