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Individual

AMANDA POLSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1111118
AR

Other

Enumeration date
11/07/2011
Last updated
01/27/2012
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