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1669997599
DIVINE THERAPY, LLC
BRYANT, AR
NPI
1669997599
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Entity Type
Organization
Authorized Contact
JULIE FANT
Director
501-213-1077
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR C1416)
Enumeration Date
2017-08-11
Last Update Date
2022-07-21
Business Address
DIVINE THERAPY, LLC
209 ROYA LN STE 4
BRYANT, AR 72022-2669
Phone number: 501-213-1077
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Mailing Address
DIVINE THERAPY, LLC
209 ROYA LN STE 4
BRYANT, AR 72022-2669
Phone number: 501-213-1077
Copy
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