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Individual

LEAH HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19 MORLEY DR, BELLA VISTA, AR 72714-4102
(479) 203-8357
Mailing address
777 MATHIAS DR STE A, SPRINGDALE, AR 72762-0816

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P2312004
AR

Other

Enumeration date
12/20/2023
Last updated
12/20/2023
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