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Individual

ASHLEY LEANNE WITHROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1704 W INDUSTRIAL DR, ROGERS, AR 72756-2492
(479) 439-6906
Mailing address
2831 W WELLINGTON CIR, ROGERS, AR 72758-3902
(417) 241-2597

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/08/2020
Last updated
10/08/2020
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