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1821710955
GRACE THERAPEUTICS OF ARKANSAS
CONWAY, AR
NPI
1821710955
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Entity Type
Organization
Authorized Contact
CLEVELON LASKER
Owner
870-623-6299
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
GRACE THERAPEUTICS OF ARKANSAS
1912 WASHINGTON AVE
CONWAY, AR 72032-2729
Phone number: 870-623-6299
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Mailing Address
GRACE THERAPEUTICS OF ARKANSAS
1912 WASHINGTON AVE
CONWAY, AR 72032-2729
Phone number: 870-623-6299
Copy
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