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1740970177
ANITA LOUISE REAGAN
FORT SMITH, AR
NPI
1740970177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2023-05-09
Last Update Date
2023-05-09
Business Address
ANITA LOUISE REAGAN LAC
4200 JENNY LIND RD STE C
FORT SMITH, AR 72901-7632
Phone number: 479-561-7600
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Mailing Address
ANITA LOUISE REAGAN LAC
3407 BLAKE RD
VAN BUREN, AR 72956-7476
Phone number: 479-462-7984
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