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1548970205
ALIA CHILDRESS
FAYETTEVILLE, AR
NPI
1548970205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A2212000)
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
ALIA CHILDRESS LAC
54 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-435-4207
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Mailing Address
ALIA CHILDRESS LAC
PO BOX 9541
FAYETTEVILLE, AR 72703-0026
Phone number: 479-435-4207
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