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1568748184
ANDREA NICOLE CARLILE
FORT SMITH, AR
NPI
1568748184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AR A1604051)
Enumeration Date
2011-10-27
Last Update Date
2016-06-16
Business Address
ANDREA NICOLE CARLILE LAC
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
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Mailing Address
ANDREA NICOLE CARLILE LAC
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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