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1952630758
THERESA ANN JAQUES
MOUNTAIN HOME, AR
NPI
1952630758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2009-12-08
Last Update Date
2009-12-08
Business Address
Mrs. THERESA ANN JAQUES MHPP
727 HIGHWAY 62 E
MOUNTAIN HOME, AR 72653-3209
Phone number: 479-425-8642
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Mailing Address
Mrs. THERESA ANN JAQUES MHPP
5537 BLEAUX AVE
SPRINGDALE, AR 72762-0737
Phone number: 479-872-5580
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TKW COUNSELING SERVICE, LLC