Individual
MR. ERVIN LEWIS VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW
Contact information
Practice address
1416 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1914
(479) 582-7152
(479) 251-1823
Mailing address
1416 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1914
(479) 582-7152
(479) 251-1823
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2202M
AR
Other
Enumeration date
12/10/2008
Last updated
04/28/2009
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