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1255886123
SHANAE STALLWORTH
LITTLE ROCK, AR
NPI
1255886123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-22
Last Update Date
2016-08-22
Business Address
-- SHANAE STALLWORTH
20302 COL GLENN RD
LITTLE ROCK, AR 72210-5347
Phone number: 501-821-5500
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Mailing Address
-- SHANAE STALLWORTH
20302 COL GLENN RD
LITTLE ROCK, AR 72210-5347
Phone number: 501-821-5500
Copy
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