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1396062816
CHRYSTAL LEE EASTRIDGE
SPRINGDALE, AR
NPI
1396062816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-04-23
Last Update Date
2010-04-23
Business Address
-- CHRYSTAL LEE EASTRIDGE MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-725-5224
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Mailing Address
-- CHRYSTAL LEE EASTRIDGE MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-725-5224
Copy
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