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1902241045
CASSIDY WILSON
MALVERN, AR
NPI
1902241045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A2106008)
Enumeration Date
2013-05-02
Last Update Date
2023-11-27
Business Address
CASSIDY WILSON LAC
1615 MARTIN LUTHER KING BLVD
MALVERN, AR 72104-2233
Phone number: 501-332-5236
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Mailing Address
CASSIDY WILSON LAC
7 BARCELONA WAY
HOT SPRINGS VILLAGE, AR 71909-3359
Phone number: 501-420-3777
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