Individual
SHALIMAR BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 HIGHWAY 9, MORRILTON, AR 72110-9403
(501) 208-5911
(501) 208-5912
Mailing address
602 N WALTON BLVD, BENTONVILLE, AR 72712-4576
(479) 464-1060
(479) 271-6307
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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