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1982957742
AMANDA LOIS SELF
NORTH LITTLE ROCK, AR
NPI
1982957742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 2615-C)
Enumeration Date
2012-10-17
Last Update Date
2012-10-17
Business Address
Mrs. AMANDA LOIS SELF LCSW
4354 STOCKTON DR
NORTH LITTLE ROCK, AR 72117-2917
Phone number: 501-221-1843
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Mailing Address
Mrs. AMANDA LOIS SELF LCSW
PO BOX 15968
LITTLE ROCK, AR 72231-5968
Phone number: 501-221-1843
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