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1174703888
RANDI DIANE HADDOCK
SPRINGDALE, AR
NPI
1174703888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 2082-C)
Enumeration Date
2007-11-09
Last Update Date
2012-10-08
Business Address
-- RANDI DIANE HADDOCK LCSW
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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Mailing Address
-- RANDI DIANE HADDOCK LCSW
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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