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Individual

AMIR ROSTAMPOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
1100 BOB COURTWAY DR, CONWAY, AR 72032-4766
(501) 328-5525
(501) 328-5342
Mailing address
1100 BOB COURTWAY DR, CONWAY, AR 72032-4766
(501) 328-5525
(501) 328-5342

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1309109
AR

Other

Enumeration date
09/30/2013
Last updated
09/30/2013
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