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1184787749
AMBER BROADWAY
JACKSONVILLE, AR
NPI
1184787749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AR 04-01E)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
AMBER BROADWAY LPE
2411 W MAIN ST
JACKSONVILLE, AR 72076-4211
Phone number: 501-982-5402
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Mailing Address
AMBER BROADWAY LPE
2411 W MAIN ST
JACKSONVILLE, AR 72076-4211
Phone number: 501-982-5402
Copy
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