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1134823305
LEILA WADE SOUTH
BENTONVILLE, AR
NPI
1134823305
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Former Name
LEILA WADE HERRON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
Mrs. LEILA WADE SOUTH
2601 N WALTON BLVD
BENTONVILLE, AR 72712-4302
Phone number: 479-802-4798
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Mailing Address
Mrs. LEILA WADE SOUTH
300 INTERNATIONAL PKWY STE 200
LAKE MARY, FL 32746-5028
Phone number: 866-610-0580
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