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Individual

PATRICIA TABB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LA C

Contact information

Practice address
555 WEST GAINES STREET, MONTICELLO, AR 71655
(870) 224-7100
(870) 224-0373
Mailing address
10025 W. MARKHAM STREET, STE 210, LITTLE ROCK, AR 72205-2178
(501) 663-5473
(501) 801-1816

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2310013
AR

Other

Enumeration date
11/06/2023
Last updated
05/29/2024
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