Individual
EBONY DOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8500
Mailing address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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