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1376108951
KENDALL WILMOTH
LITTLE ROCK, AR
NPI
1376108951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
KENDALL WILMOTH
14913 COOPER ORBIT RD
LITTLE ROCK, AR 72223-3903
Phone number: 501-614-4914
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Mailing Address
KENDALL WILMOTH
6301 FATHER TRIBOU ST
LITTLE ROCK, AR 72205-3003
Phone number: 501-372-4611
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