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KELLI L MCTIGRIT LCSW

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1093075079

Individual Registrant:
 KELLI L MCTIGRIT LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
612 E ARKANSAS ST  STAR CITY, AR 71667-4842 US
Tel: 870-528-4181  Fax: 870-628-5369

Contact information for business:
2500 RIKE DR  PINE BLUFF, AR 71603-3937 US
Tel: 870-534-1834  Fax: 870-534-5798

Registration Information:
NPI: 1093075079
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
116378726AR05




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