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1164887600
LORI BRADY
FORT SMITH, AR
NPI
1164887600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: AR A1512160)
Enumeration Date
2015-12-29
Last Update Date
2015-12-29
Business Address
-- LORI BRADY
5401 ROGERS AVE STE 200
FORT SMITH, AR 72903-3763
Phone number: 479-414-7581
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Mailing Address
-- LORI BRADY
1808 BUNKER HILL DRIVE
VAN BUREN, AR 72956
Phone number: 479-414-7581
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