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1104222561
SUSAN GREGORY
MOUNTAIN HOME, AR
NPI
1104222561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: AR PLMSW)
Enumeration Date
2014-11-13
Last Update Date
2014-11-13
Business Address
SUSAN GREGORY
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653-8212
Phone number: 870-425-5252
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Mailing Address
SUSAN GREGORY
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653-8212
Phone number: 870-425-5252
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