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Individual

JEFF TED CLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
4620 KEELY CV, JONESBORO, AR 72404-8182
(870) 933-5504
Mailing address
4620 KEELY CV, JONESBORO, AR 72404-8182
(870) 933-5504

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A0610071
AR

Other

Enumeration date
03/30/2007
Last updated
07/08/2007
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