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1730617804
MARK A FENNER
SILOAM SPRINGS, AR
NPI
1730617804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2017-06-01
Last Update Date
2017-06-01
Business Address
MARK A FENNER
827 W HARVARD ST
SILOAM SPRINGS, AR 72761-4013
Phone number: 479-549-3121
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Mailing Address
MARK A FENNER
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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