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1205087988
MALLORY LOUISE BROGDON
BENTONVILLE, AR
NPI
1205087988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2008-10-01
Last Update Date
2011-05-24
Business Address
-- MALLORY LOUISE BROGDON MHPP
2508 SE 20TH STREET
BENTONVILLE, AR 72712
Phone number: 479-750-2020
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Mailing Address
-- MALLORY LOUISE BROGDON MHPP
2400 S. 48TH STREET
SPRINGDALE, AR 72762
Phone number: 479-750-2020
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