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1194252031
CHARLES ANTHONY MASK
LITTLE ROCK, AR
NPI
1194252031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-05-22
Last Update Date
2022-07-21
Business Address
Mr. CHARLES ANTHONY MASK MHPP
20400 COL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
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Mailing Address
Mr. CHARLES ANTHONY MASK MHPP
20400 COL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
Copy
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