Individual
T'REVAH COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 N WASHINGTON AVE, EL DORADO, AR 71730-5616
(870) 863-4611
(870) 741-4784
Mailing address
412 N WASHINGTON AVE, EL DORADO, AR 71730-5616
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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