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1366930802
TYLER YOUNG QUATTLEBAUM
FAYETTEVILLE, AR
NPI
1366930802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR P2210005)
Enumeration Date
2018-04-30
Last Update Date
2022-10-10
Business Address
TYLER YOUNG QUATTLEBAUM LPC
19 E MOUNTAIN ST STE 1
FAYETTEVILLE, AR 72701-6067
Phone number: 479-381-0831
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Mailing Address
TYLER YOUNG QUATTLEBAUM LPC
19 E MOUNTAIN ST STE 1
FAYETTEVILLE, AR 72701-6067
Phone number: 479-381-0831
Copy
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