Individual
KEUNA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1371 HIGHWAY 278 W, MONTICELLO, AR 71655-9663
(870) 367-2143
(870) 367-2145
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
06/24/2011
Last updated
06/24/2011
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