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1790446995
KENNY J TOLBERT
SPRINGDALE, AR
NPI
1790446995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-01-10
Last Update Date
2022-01-10
Business Address
KENNY J TOLBERT
7255 MEESHOW DR STE A
SPRINGDALE, AR 72762-5269
Phone number: 479-306-4480
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Mailing Address
KENNY J TOLBERT
7255 MEESHOW DR STE A
SPRINGDALE, AR 72762-5269
Phone number: 479-306-4480
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