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1871363820
NICOLE MEDINA
VAN BUREN, AR
NPI
1871363820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AR 12122M)
Enumeration Date
2024-01-02
Last Update Date
2024-01-02
Business Address
NICOLE MEDINA LMSW
2705B OAK LN
VAN BUREN, AR 72956-4816
Phone number: 479-452-6650
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Mailing Address
NICOLE MEDINA LMSW
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
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