DYLAN BLAKE VANDEVER

ROGERS, AR
NPI1639852494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  A230714)
Enumeration Date2023-08-09
Last Update Date2023-08-09
Business Address
DYLAN BLAKE VANDEVER
501 S 48TH STREET STE 101
ROGERS, AR 72758
Phone number: 479-202-8040
Mailing Address
DYLAN BLAKE VANDEVER
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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