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Individual

ADDISON JAYDE ESCUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
677 HIGHWAY 91 W, BONO, AR 72416-8127
(870) 219-1027
(870) 292-3556
Mailing address
677 HIGHWAY 91 W, BONO, AR 72416-8127
(870) 219-1027
(870) 292-3556

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
339348795
AR
Enumeration date
10/21/2025
Last updated
10/21/2025
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