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Individual

DR. GEORGE M DE ROECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
308 W MONROE AVE, JONESBORO, AR 72401-2741
(870) 972-4770
(870) 972-4774
Mailing address
308 W MONROE AVE, JONESBORO, AR 72401-2741
(870) 972-4770
(870) 972-4774

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
84-7P
AR

Other

Enumeration date
09/15/2006
Last updated
07/08/2007
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