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1881783959
ANDREA M SELF
CONWAY, AR
NPI
1881783959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR P0401001)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- ANDREA M SELF MS LPC
350 SALEM ROAD SUITE 1
CONWAY, AR 72034
Phone number: 501-336-8300
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Mailing Address
-- ANDREA M SELF MS LPC
350 SALEM ROAD SUITE 1
CONWAY, AR 72034
Phone number: 501-336-8300
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