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1255420675
ELWANDA F HAWTHORNE
FORREST CITY, AR
NPI
1255420675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: AR P0302003)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
ELWANDA F HAWTHORNE LPC
1825 E BROADWAY ST
FORREST CITY, AR 72335-3409
Phone number: 901-745-2857
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Mailing Address
ELWANDA F HAWTHORNE LPC
4009 E MALLORY AVE
MEMPHIS, TN 38111-7007
Phone number: 901-745-2857
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