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1407843386
KELLY ELDRIDGE
BENTON, AR
NPI
1407843386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: AR 89-12E)
Enumeration Date
2005-10-05
Last Update Date
2015-07-10
Business Address
-- KELLY ELDRIDGE LPE-I
307 E SEVIER ST
BENTON, AR 72015-3934
Phone number: 501-315-4224
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Mailing Address
-- KELLY ELDRIDGE LPE-I
307 E SEVIER ST
BENTON, AR 72015-3934
Phone number: 501-315-4224
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