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1164635348
GLENN WILLIS
CLARKSVILLE, AR
NPI
1164635348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-07
Last Update Date
2011-06-20
Business Address
GLENN WILLIS RECOVERY ADVOCATE
706 N BROWN ST
CLARKSVILLE, AR 72830-2732
Phone number: 479-705-1301
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Mailing Address
GLENN WILLIS RECOVERY ADVOCATE
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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