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1285882811
NICOLE LEE
RUSSELLVILLE, AR
NPI
1285882811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR 07-10E)
Enumeration Date
2008-09-08
Last Update Date
2011-08-18
Business Address
-- NICOLE LEE LPE
110 SKYLINE DR
RUSSELLVILLE, AR 72801-3362
Phone number: 479-967-5570
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Mailing Address
-- NICOLE LEE LPE
350 SALEM RD SUITE 1
CONWAY, AR 72034-7525
Phone number: 501-336-8300
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