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1427081454
SUSAN L SHACKELFORD
FAYETTEVILLE, AR
NPI
1427081454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: AR 97-04P)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
Dr. SUSAN L SHACKELFORD Ph.D.
1 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1825
Phone number: 479-443-5575
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Mailing Address
Dr. SUSAN L SHACKELFORD Ph.D.
1 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1825
Phone number: 479-443-5575
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