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1982119384
SHANGALEZA BENTON
FORT SMITH, AR
NPI
1982119384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A1909130)
Enumeration Date
2017-12-06
Last Update Date
2019-12-10
Business Address
SHANGALEZA BENTON LAC
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
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Mailing Address
SHANGALEZA BENTON LAC
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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