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1033749858
NATHAN OTTEN COUNSELING LLC
FORT SMITH, AR
NPI
1033749858
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Entity Type
Organization
Authorized Contact
NATHAN OTTEN
Organizer
712-363-6755
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2020-01-21
Last Update Date
2020-01-21
Business Address
NATHAN OTTEN COUNSELING LLC
4019 MASSARD RD
FORT SMITH, AR 72903-6221
Phone number: 712-363-6755
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Mailing Address
NATHAN OTTEN COUNSELING LLC
1713 WOODWIND WAY
VAN BUREN, AR 72956-2044
Phone number:
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