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1992961692
AMY EVANA BURGIN
CONWAY, AR
NPI
1992961692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR 09-18EI)
Enumeration Date
2008-08-01
Last Update Date
2019-10-24
Business Address
AMY EVANA BURGIN LPE-I
2215 E OAK ST STE 1
CONWAY, AR 72032-4644
Phone number: 501-336-0511
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Mailing Address
AMY EVANA BURGIN LPE-I
2215 E OAK ST STE 1
CONWAY, AR 72032-4644
Phone number: 501-336-0511
Copy
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