Individual
BOBBY R LOVELACE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 RIVENDELL DR, BENTON, AR 72019-9188
(501) 316-1255
Mailing address
100 RIVENDELL DR, BENTON, AR 72019-9188
(501) 316-1255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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