Individual
ANDREW RYAN LAVESPERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 DAVID ST, CORNING, AR 72422-7268
(870) 857-3655
(870) 857-3637
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PLMSW
AR
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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