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1205334000
CRISTAL ELLIS
BENTON, AR
NPI
1205334000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A2401026)
Enumeration Date
2018-01-26
Last Update Date
2024-01-29
Business Address
CRISTAL ELLIS LAC
211 S MAIN ST
BENTON, AR 72015
Phone number: 501-672-2339
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Mailing Address
CRISTAL ELLIS LAC
211 S MAIN ST
BENTON, AR 72015
Phone number:
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