AMBER BROADWAY

JACKSONVILLE, AR
NPI1184787749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  04-01E)
Enumeration Date2006-12-18
Last Update Date2007-07-08
Business Address
-- AMBER BROADWAY LPE
2411 W MAIN ST
JACKSONVILLE, AR 72076-4211
Phone number: 501-982-5402
Mailing Address
-- AMBER BROADWAY LPE
2411 W MAIN ST
JACKSONVILLE, AR 72076-4211
Phone number: 501-982-5402
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