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1922649532
COURTNEY BACON-LATINA
MALVERN, AR
NPI
1922649532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AR P2203015)
Enumeration Date
2019-10-04
Last Update Date
2022-04-01
Business Address
COURTNEY BACON-LATINA LPC
829 HALBERT ST
MALVERN, AR 72104-2607
Phone number: 501-332-4400
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Mailing Address
COURTNEY BACON-LATINA LPC
829 HALBERT ST
MALVERN, AR 72104-2607
Phone number: 501-332-4400
Copy
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