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1356706238
JENNIFER FADDIS
FAYETTEVILLE, AR
NPI
1356706238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: AR P0301002)
Enumeration Date
2015-12-21
Last Update Date
2015-12-21
Business Address
JENNIFER FADDIS MS, LPC
3980 W WEDINGTON DR STE 9
FAYETTEVILLE, AR 72704-5791
Phone number: 479-263-7602
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Mailing Address
JENNIFER FADDIS MS, LPC
PO BOX 203
CENTERTON, AR 72719
Phone number: 479-903-1263
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