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1114170057
CHARLES H SHIELDS
BENTONVILLE, AR
NPI
1114170057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2008-10-23
Last Update Date
2008-10-23
Business Address
-- CHARLES H SHIELDS THERAPIST
2003 SE WALTON BLVD
BENTONVILLE, AR 72712-3725
Phone number: 479-464-5925
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Mailing Address
-- CHARLES H SHIELDS THERAPIST
3352 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-521-5731
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