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1205477098
STEVEN ELLIOT SHELTON
TEXARKANA, AR
NPI
1205477098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
STEVEN ELLIOT SHELTON
7000 N STATELINE AVE
TEXARKANA, AR 71854
Phone number: 870-774-1315
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Mailing Address
STEVEN ELLIOT SHELTON
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number:
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