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1386069961
LEAH CARVAJAL
RUSSELLVILLE, AR
NPI
1386069961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A1401013)
Enumeration Date
2014-02-19
Last Update Date
2015-05-11
Business Address
-- LEAH CARVAJAL LAC
110 SKYLINE DR
RUSSELLVILLE, AR 72801-3362
Phone number: 479-968-1298
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Mailing Address
-- LEAH CARVAJAL LAC
4815 ABBEY GAIL DR #1
CONWAY, AR 72034-9288
Phone number: 903-826-3111
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