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1023448479
TABITHA FONDREN
FORT SMITH, AR
NPI
1023448479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-11-22
Last Update Date
2013-11-22
Business Address
-- TABITHA FONDREN
3900 ARMOUR AVE
FORT SMITH, AR 72904-4317
Phone number: 479-783-8849
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Mailing Address
-- TABITHA FONDREN
3900 ARMOUR AVE
FORT SMITH, AR 72904-4317
Phone number: 479-783-8849
Copy
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