ELLEN PATRIDGE

FORT SMITH, AR
NPI1568770915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  A1008095)
Enumeration Date2010-09-20
Last Update Date2010-09-20
Business Address
-- ELLEN PATRIDGE LAC
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
Mailing Address
-- ELLEN PATRIDGE LAC
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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