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1386113421
STEPHANIE JADE MOORE
BATESVILLE, AR
NPI
1386113421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AR 1641)
Enumeration Date
2018-11-19
Last Update Date
2018-11-19
Business Address
Mrs. STEPHANIE JADE MOORE ADC
1104 VINE STREET
BATESVILLE, AR 72501-8638
Phone number: 870-613-6624
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Mailing Address
Mrs. STEPHANIE JADE MOORE ADC
1104 VINE STREET
BATESVILLE, AR 72501-8638
Phone number: 870-613-6624
Copy
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