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1740477322
ILA MAUREEN DEBOSE
FORT SMITH, AR
NPI
1740477322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 2158-C)
Enumeration Date
2007-09-27
Last Update Date
2015-04-09
Business Address
-- ILA MAUREEN DEBOSE LCSW
4943 OLD GREENWOOD RD SUITE 2
FORT SMITH, AR 72903-6923
Phone number: 479-719-7051
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Mailing Address
-- ILA MAUREEN DEBOSE LCSW
5410 FREE FERRY RD
FORT SMITH, AR 72903-2522
Phone number: 479-719-7051
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