Individual
BROOKE GRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1310 W MAIN ST STE 100, RUSSELLVILLE, AR 72801-2803
(479) 964-2011
Mailing address
1310 W MAIN ST STE 100, RUSSELLVILLE, AR 72801-2803
(479) 964-2011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2502025
AR
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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