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1104116276
LACEY TIPTON
LITTLE ROCK, AR
NPI
1104116276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-04-11
Last Update Date
2011-04-11
Business Address
-- LACEY TIPTON MHPP
3225 OZARK ST
LITTLE ROCK, AR 72205-4338
Phone number: 501-666-5612
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Mailing Address
-- LACEY TIPTON MHPP
3225 OZARK ST
LITTLE ROCK, AR 72205-4338
Phone number: 501-666-5612
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