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Individual

CAROLYN HARLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2474 E JOYCE BLVD, SUITE 2, FAYETTEVILLE, AR 72703-4519
(479) 521-8326
(479) 521-5439
Mailing address
2474 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-4932
(479) 521-8326
(479) 521-5439

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
7756929
AR

Other

Enumeration date
07/22/2011
Last updated
07/22/2011
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