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1417654658
ELIZABETH STANDAGE
CONWAY, AR
NPI
1417654658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A2302017)
Enumeration Date
2023-02-08
Last Update Date
2023-06-20
Business Address
ELIZABETH STANDAGE LAC
800 EXCHANGE AVE STE 103
CONWAY, AR 72032-7833
Phone number: 501-701-2230
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Mailing Address
ELIZABETH STANDAGE LAC
1185 CRIMSON CLOVER DR
CONWAY, AR 72034-7558
Phone number: 501-802-0274
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