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1295215937
ASHANTI WALLACE
LITTLE ROCK, AR
NPI
1295215937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
ASHANTI WALLACE QBHP
20400 COL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
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Mailing Address
ASHANTI WALLACE QBHP
20400 COL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
Copy
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