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1205422094
LESLIE SOUTHALL
RUSSELLVILLE, AR
NPI
1205422094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AR P2408002)
Enumeration Date
2020-12-15
Last Update Date
2024-08-30
Business Address
LESLIE SOUTHALL
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801-2803
Phone number: 479-964-2011
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Mailing Address
LESLIE SOUTHALL
19 BUSINESS PARK DR STE 5
GREENBRIER, AR 72058-9286
Phone number:
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