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1417582321
LORETTA E TANNER
FAYETTEVILLE, AR
NPI
1417582321
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Former Name
LORETTA ELLENDER PEREA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AR 1511124)
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
LORETTA E TANNER M.Ed
3980 W WEDINGTON DR STE 9
FAYETTEVILLE, AR 72704-5791
Phone number: 479-263-7602
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Mailing Address
LORETTA E TANNER M.Ed
203 SHORELINE DR
SPRINGDALE, AR 72764-2532
Phone number: 985-209-5327
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