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1467732172
MELODY M MORTENSON
FAYETTEVILLE, AR
NPI
1467732172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 2551-C)
Enumeration Date
2011-08-25
Last Update Date
2019-10-01
Business Address
MELODY M MORTENSON LCSW
4241 N GABEL DR STE 2B
FAYETTEVILLE, AR 72703-5296
Phone number: 479-879-2115
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Mailing Address
MELODY M MORTENSON LCSW
PO BOX 555
FAYETTEVILLE, AR 72702-0555
Phone number: 479-879-2115
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