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1144748526
AMANDA G BALLEW
FAYETTEVILLE, AR
NPI
1144748526
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Former Name
AMANDA G TROKEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A1805052)
Enumeration Date
2017-09-06
Last Update Date
2019-05-08
Business Address
AMANDA G BALLEW LAC
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Phone number: 479-695-1240
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Mailing Address
AMANDA G BALLEW LAC
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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