LIGHTED PATH PLLC

CONWAY, AR
NPI1134446958
Entity TypeOrganization
Authorized ContactJEREMY LYNN DICICCO
President
804-592-1205
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2010-05-04
Last Update Date2010-07-09
Business Address
LIGHTED PATH PLLC
1124 OAK ST SUITE 250
CONWAY, AR 72032-4318
Phone number: 804-592-1205
Mailing Address
LIGHTED PATH PLLC
PO BOX 224 SUITE 250
CONWAY, AR 72033-0224
Phone number: 804-592-1205
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