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1962418095
JOHN M. LEIMER
FAYETTEVILLE, AR
NPI
1962418095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 1460)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- JOHN M. LEIMER MS, CSAC
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-444-5048
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Mailing Address
-- JOHN M. LEIMER MS, CSAC
PO BOX 97
SAINT PAUL, AR 72760-0097
Phone number: 479-677-3390
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