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1114365293
RUSSELL T HOUSE
FAYETTEVILLE, AR
NPI
1114365293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist Counseling
(Licence: AR 13-45E)
Enumeration Date
2013-06-11
Last Update Date
2016-07-13
Business Address
RUSSELL T HOUSE LPE
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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Mailing Address
RUSSELL T HOUSE LPE
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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