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1114254893
CARRIE AMELIA FONTENOT
ARKADELPHIA, AR
NPI
1114254893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2009-11-17
Last Update Date
2009-11-17
Business Address
Ms. CARRIE AMELIA FONTENOT MHPP
1008 PINE ST
ARKADELPHIA, AR 71923-4919
Phone number: 870-230-8364
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Mailing Address
Ms. CARRIE AMELIA FONTENOT MHPP
5537 BLEAUX AVE
SPRINGDALE, AR 72762-0737
Phone number: 479-872-5580
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