KENDALL WILMOTH

LITTLE ROCK, AR
NPI1376108951
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-05-08
Last Update Date2019-05-08
Business Address
KENDALL WILMOTH
14913 COOPER ORBIT RD
LITTLE ROCK, AR 72223-3903
Phone number: 501-614-4914
Mailing Address
KENDALL WILMOTH
6301 FATHER TRIBOU ST
LITTLE ROCK, AR 72205-3003
Phone number: 501-372-4611