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1861789190
HOLLY RAE WILLARD
FORREST CITY, AR
NPI
1861789190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AR 1357)
Enumeration Date
2011-07-07
Last Update Date
2011-07-07
Business Address
Ms. HOLLY RAE WILLARD BS,CCS,CADC
112 S IZARD ST
FORREST CITY, AR 72335-3810
Phone number: 870-630-1990
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Mailing Address
Ms. HOLLY RAE WILLARD BS,CCS,CADC
112 S IZARD ST
FORREST CITY, AR 72335-3810
Phone number: 870-630-1990
Copy
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