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1932823358
SHANTE MORMON
LITTLE ROCK, AR
NPI
1932823358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 5030-C)
Enumeration Date
2022-09-29
Last Update Date
2024-11-30
Business Address
SHANTE MORMON LCSW, C-DBT, CGP
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201-3438
Phone number: 501-209-7522
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Mailing Address
SHANTE MORMON LCSW, C-DBT, CGP
PO BOX 1283
BENTON, AR 72018-1283
Phone number: 501-209-7522
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