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1750916219
COURTNEY ICENHOWER
BENTON, AR
NPI
1750916219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2020-03-05
Last Update Date
2022-03-09
Business Address
COURTNEY ICENHOWER
110 PEARSON
BENTON, AR 72015-4436
Phone number: 501-315-4224
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Mailing Address
COURTNEY ICENHOWER
110 PEARSON
BENTON, AR 72015-4436
Phone number: 501-315-4224
Copy
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