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1912177486
LONDA LYNNE REVIS
CONWAY, AR
NPI
1912177486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AR 2212-C)
Enumeration Date
2008-03-11
Last Update Date
2020-09-30
Business Address
LONDA LYNNE REVIS LCSW
495 HOGAN LN STE 2
CONWAY, AR 72034-8498
Phone number: 501-358-6695
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Mailing Address
LONDA LYNNE REVIS LCSW
PO BOX 9662
CONWAY, AR 72033-9662
Phone number: 501-358-6695
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