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1710280078
JOHANNAH CREEDON MASTERS
HOPE, AR
NPI
1710280078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-08
Last Update Date
2010-12-08
Business Address
Ms. JOHANNAH CREEDON MASTERS MS, ACADA, CCDP-D
300 E 20TH ST
HOPE, AR 71801-8217
Phone number: 870-777-9051
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Mailing Address
Ms. JOHANNAH CREEDON MASTERS MS, ACADA, CCDP-D
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: 870-773-4655
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