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1437342268
LARRY LUCAS LEWALLEN
JONESBORO, AR
NPI
1437342268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 4721-C)
Enumeration Date
2007-08-24
Last Update Date
2023-06-29
Business Address
LARRY LUCAS LEWALLEN LCSW
2701 S CARAWAY RD STE B1
JONESBORO, AR 72401-7336
Phone number: 870-926-5710
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Mailing Address
LARRY LUCAS LEWALLEN LCSW
2701 S CARAWAY RD STE B1
JONESBORO, AR 72401-7336
Phone number: 870-926-5710
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