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1245003979
AMY BLUE
BENTONVILLE, AR
NPI
1245003979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A2209010)
Enumeration Date
2023-11-03
Last Update Date
2023-11-03
Business Address
AMY BLUE LAC
910 SE 21ST ST
BENTONVILLE, AR 72712-9776
Phone number: 913-553-7644
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Mailing Address
AMY BLUE LAC
3204 PEACH BLOSSOM
BENTONVILLE, AR 72712-3555
Phone number: 913-553-7644
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