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1669642989
JENNIFER MOFFITT
FAYETTEVILLE, AR
NPI
1669642989
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Former Name
JENNIFER EWBANK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: AR 08-10EI)
Enumeration Date
2008-03-03
Last Update Date
2018-10-10
Business Address
JENNIFER MOFFITT LPE-I
26 E MEADOW ST STE 1
FAYETTEVILLE, AR 72701-5357
Phone number: 479-790-6290
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Mailing Address
JENNIFER MOFFITT LPE-I
PO BOX 10681
FAYETTEVILLE, AR 72703-0046
Phone number: 479-790-6290
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