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1912358524
SHANTIA WOODARD
LAKE VILLAGE, AR
NPI
1912358524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-06-24
Last Update Date
2016-06-24
Business Address
-- SHANTIA WOODARD
1652 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653-1662
Phone number: 870-265-3711
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Mailing Address
-- SHANTIA WOODARD
602 N WALTON BLVD
BENTONVILLE, AR 72712-4576
Phone number: 479-464-1060
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