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1508348319
AUSTIN MATTHEW TISDALE
LITTLE ROCK, AR
NPI
1508348319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AR 8815-M)
Enumeration Date
2018-08-29
Last Update Date
2023-01-23
Business Address
Mr. AUSTIN MATTHEW TISDALE LCSW
2002 S FILLMORE ST
LITTLE ROCK, AR 72204-4909
Phone number: 501-906-4928
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Mailing Address
Mr. AUSTIN MATTHEW TISDALE LCSW
10515 W MARKHAM STREET
LITTLE ROCK, AR 72205
Phone number:
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