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1073652400
EYDIE NERISSA CANTRELL
MOUNTAIN HOME, AR
NPI
1073652400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: AR A0607043)
Enumeration Date
2007-02-05
Last Update Date
2009-09-03
Business Address
Mrs. EYDIE NERISSA CANTRELL LPC
18 COUNTY ROAD 458 CHILD AND YOUTH PEDIATRIC DAY CLINIC
MOUNTAIN HOME, AR 72653-8212
Phone number: 870-425-5252
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Mailing Address
Mrs. EYDIE NERISSA CANTRELL LPC
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653-8212
Phone number: 870-425-5252
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