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Individual

MANDY TIGERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
618 S KNOXVILLE AVE, RUSSELLVILLE, AR 72801-6419
(479) 346-8340
Mailing address
515 S 4TH ST, DARDANELLE, AR 72834-4201
(501) 339-6625

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1503014
AR

Other

Enumeration date
02/13/2007
Last updated
03/05/2025
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