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Individual

LANEY RAIN ELDRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1301 MUSEUM RD, CONWAY, AR 72032-4739
(501) 358-6535
Mailing address
700 LUNSFORD AVE, BAY, AR 72411-9508
(870) 275-3406

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB623204
AR

Other

Enumeration date
10/21/2020
Last updated
10/21/2020
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