Individual
JAVAUGHN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 S LAUREL ST, PINE BLUFF, AR 71601-4859
(870) 534-4900
Mailing address
6210 BASELINE RD, LITTLE ROCK, AR 72209-4728
(501) 265-0302
(501) 265-0300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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