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1982016101
ANNIE MYRACLE
SPRINGDALE, AR
NPI
1982016101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-05-22
Last Update Date
2016-07-28
Business Address
-- ANNIE MYRACLE
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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Mailing Address
-- ANNIE MYRACLE
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
Copy
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