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1104066299
KIMBERLY R ELLIS
HOT SPRINGS, AR
NPI
1104066299
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Former Name
KIMBERLY R DAUGHERTY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AR A0909102)
Enumeration Date
2009-03-02
Last Update Date
2018-07-19
Business Address
KIMBERLY R ELLIS LAC
307 CARPENTER DAM RD STE B
HOT SPRINGS, AR 71901-8282
Phone number: 501-781-2230
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Mailing Address
KIMBERLY R ELLIS LAC
201 S ROSE ST
SHERIDAN, AR 72150-2451
Phone number: 870-917-2171
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