Individual
MELISSA HENRY-MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6210 DOLLARWAY RD, STE 4, PINE BLUFF, AR 71602-3733
(870) 247-3588
(870) 247-2072
Mailing address
6210 DOLLARWAY RD, STE 4, PINE BLUFF, AR 71602-3733
(870) 247-3588
(870) 247-2072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1101001
AR
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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