KIM MIXON

PINE BLUFF, AR
NPI1700488459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2020-11-09
Last Update Date2020-11-09
Business Address
KIM MIXON
2500 RIKE DR
PINE BLUFF, AR 71603-3937
Phone number: 870-534-1834
Mailing Address
KIM MIXON
2500 RIKE DR
PINE BLUFF, AR 71603-3937
Phone number: 870-534-1834
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