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1891414959
JULIE A ELLENBARGER
FAYETTEVILLE, AR
NPI
1891414959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AR A2208009)
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
JULIE A ELLENBARGER
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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Mailing Address
JULIE A ELLENBARGER
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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