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1831870336
TIMOTHY BEASLEY
FORT SMITH, AR
NPI
1831870336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A2307015)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
Mr. TIMOTHY BEASLEY LAC
2408 S 51ST CT STE G
FORT SMITH, AR 72903-3666
Phone number: 479-323-2424
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Mailing Address
Mr. TIMOTHY BEASLEY LAC
2710 YORKTOWN CIR
FORT SMITH, AR 72903-5136
Phone number: 479-629-2453
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