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1902011000
ERIC TY CRUTCHFIELD
BENTON, AR
NPI
1902011000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 2545-C)
Enumeration Date
2007-05-11
Last Update Date
2011-01-26
Business Address
-- ERIC TY CRUTCHFIELD LCSW
1502 MARY KAY AVE
BENTON, AR 72015
Phone number: 501-315-3344
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Mailing Address
-- ERIC TY CRUTCHFIELD LCSW
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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R.E.A.C.H. PEDIATRIC HEALTH SERVICES, LLC
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