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1730961079
AMANDA LEA GREATHOUSE
BENTONVILLE, AR
NPI
1730961079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A2310006)
Enumeration Date
2023-10-20
Last Update Date
2023-10-20
Business Address
AMANDA LEA GREATHOUSE MS, LAC
111 SE 22ND ST
BENTONVILLE, AR 72712-7188
Phone number: 479-268-3280
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Mailing Address
AMANDA LEA GREATHOUSE MS, LAC
280 NW RED BARN CIR APT 208
BENTONVILLE, AR 72712-2499
Phone number: 763-670-9523
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