Individual
KELLY ELIZABETH DUNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5507 W WALSH LN STE 201, ROGERS, AR 72758-8995
(479) 595-0333
Mailing address
1 GAMLINGAY LN, BELLA VISTA, AR 72714-1819
(469) 449-7481
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10198-M
AR
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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