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1467780395
MARK TOMMY THOMAS
LITTLE ROCK, AR
NPI
1467780395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-12-04
Last Update Date
2010-06-04
Business Address
Mr. MARK TOMMY THOMAS MHPP
5918 LEE AVE
LITTLE ROCK, AR 72205-3049
Phone number: 501-663-2199
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Mailing Address
Mr. MARK TOMMY THOMAS MHPP
5918 LEE AVE
LITTLE ROCK, AR 72205-3326
Phone number: 501-663-2199
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