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1528545084
MICHAEL ANDRE MCGRUDER
LITTLE ROCK, AR
NPI
1528545084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-07-26
Last Update Date
2018-07-26
Business Address
MICHAEL ANDRE MCGRUDER
6425 W 12TH ST
LITTLE ROCK, AR 72204-1509
Phone number: 501-666-8686
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Mailing Address
MICHAEL ANDRE MCGRUDER
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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