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1043524093
SHASTA BROOKE COLE
SPRINGDALE, AR
NPI
1043524093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-08-02
Last Update Date
2010-08-02
Business Address
-- SHASTA BROOKE COLE MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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Mailing Address
-- SHASTA BROOKE COLE MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
Copy
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