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1952792442
LISA SPROULL WEITHMAN
JACKSONVILLE, AR
NPI
1952792442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A1411145)
Enumeration Date
2015-02-05
Last Update Date
2015-02-05
Business Address
Mrs. LISA SPROULL WEITHMAN MS, LAC
2411 W MAIN ST
JACKSONVILLE, AR 72076-4211
Phone number: 501-948-5402
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Mailing Address
Mrs. LISA SPROULL WEITHMAN MS, LAC
PO BOX 647
JACKSONVILLE, AR 72078-0647
Phone number: 501-259-9030
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