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1114569118
JORDAN SMITH
MALVERN, AR
NPI
1114569118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-10-10
Last Update Date
2024-12-17
Business Address
JORDAN SMITH
1628 E PAGE AVE
MALVERN, AR 72104-4524
Phone number: 501-315-3344
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Mailing Address
JORDAN SMITH
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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