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1881844918
JULIE MICHELLE FORT
IMBODEN, AR
NPI
1881844918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2008-09-25
Last Update Date
2013-05-16
Business Address
Mrs. JULIE MICHELLE FORT MHPP
609 W 3RD ST
IMBODEN, AR 72434-9099
Phone number: 870-869-1500
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Mailing Address
Mrs. JULIE MICHELLE FORT MHPP
609 W 3RD ST
IMBODEN, AR 72434-9099
Phone number: 870-869-1500
Copy
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