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1740358845
LARON MICHELLE COUCH
JACKSONVILLE, AR
NPI
1740358845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
-- LARON MICHELLE COUCH BA, MHPP
1109 BURMAN DR
JACKSONVILLE, AR 72076-4386
Phone number: 501-328-7515
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Mailing Address
-- LARON MICHELLE COUCH BA, MHPP
650 S SHACKLEFORD RD SUITE 217
LITTLE ROCK, AR 72211-3522
Phone number: 501-221-1843
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