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1457139461
MATTHEW R DERR
FAYETTEVILLE, AR
NPI
1457139461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A2302033)
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
MATTHEW R DERR
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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Mailing Address
MATTHEW R DERR
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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