TACHICKA SHAWNTAE MALVIN

LITTLE ROCK, AR
NPI1144707696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-07-26
Last Update Date2018-07-26
Business Address
TACHICKA SHAWNTAE MALVIN
6425 W 12TH ST
LITTLE ROCK, AR 72204-1509
Phone number: 501-666-8686
Mailing Address
TACHICKA SHAWNTAE MALVIN
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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