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1528358975
AMANDA MICHELLE RIDDLE
FAYETTEVILLE, AR
NPI
1528358975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-04-19
Last Update Date
2016-05-20
Business Address
Ms. AMANDA MICHELLE RIDDLE CADC
3715 N BUSINESS DR STE 104
FAYETTEVILLE, AR 72703-5204
Phone number: 479-521-1532
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Mailing Address
Ms. AMANDA MICHELLE RIDDLE CADC
2153 E JOYCE BLVD STE 201
FAYETTEVILLE, AR 72703-4714
Phone number: 479-575-9471
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