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1184390981
NATHAN WINIECKI
BRYANT, AR
NPI
1184390981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR P2402003)
Enumeration Date
2021-08-20
Last Update Date
2024-03-01
Business Address
NATHAN WINIECKI LAC
500 HILL FARM RD
BRYANT, AR 72022-3804
Phone number: 501-653-5015
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Mailing Address
NATHAN WINIECKI LAC
106 SIXTH ST
CHARLESTON, AR 72933-7027
Phone number: 015-765-0881
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