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1235503095
MICHELLE E EDGIN
BENTON, AR
NPI
1235503095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-17
Last Update Date
2019-10-15
Business Address
MICHELLE E EDGIN
110 PEARSON
BENTON, AR 72015-4436
Phone number: 501-315-4224
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Mailing Address
MICHELLE E EDGIN
110 PEARSON
BENTON, AR 72015-4436
Phone number: 501-315-4224
Copy
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