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1316196181
TERESA ALLEN
FAYETTEVILLE, AR
NPI
1316196181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AR A0309085)
Enumeration Date
2008-09-16
Last Update Date
2008-09-16
Business Address
-- TERESA ALLEN LAC
2805 E ZION RD
FAYETTEVILLE, AR 72703-5195
Phone number: 479-443-6496
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Mailing Address
-- TERESA ALLEN LAC
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-521-5731
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