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Organization

DAVA L BROCK LPC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS FOSTER (OFFICE MANAGER)
(844) 514-5183
Entity
Organization

Contact information

Practice address
2796 S 2ND ST STE E, CABOT, AR 72023-7043
(844) 514-5183
(501) 286-6046
Mailing address
2796 S 2ND ST STE E, CABOT, AR 72023-7043
(844) 514-5183
(501) 286-6046

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
08/23/2023
Last updated
09/08/2023
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