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Individual

CLINTON PARKER SCOGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11215 HERMITAGE ROAD, SUITE 201, LITTLE ROCK, AR 72211-7221
(501) 436-3991
Mailing address
11215 HERMITAGE ROAD, SUITE 201, LITTLE ROCK, AR 72211
(501) 436-3991

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/17/2020
Last updated
02/17/2020
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