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1750004834
CLAYTON WILLIS
ROGERS, AR
NPI
1750004834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
CLAYTON WILLIS LAC
1108 POPLAR PL
ROGERS, AR 72756-4249
Phone number: 479-372-6464
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Mailing Address
CLAYTON WILLIS LAC
2809 FOREST HOME RD
JONESBORO, AR 72401-5320
Phone number: 866-972-1268
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