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1154830750
LARRY WHITE
STAR CITY, AR
NPI
1154830750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-26
Last Update Date
2017-09-26
Business Address
LARRY WHITE BA
612 E ARKANSAS ST
STAR CITY, AR 71667-4842
Phone number: 870-628-4181
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Mailing Address
LARRY WHITE BA
2500 RIKE DR
PINE BLUFF, AR 71603-3937
Phone number: 870-534-1834
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