Individual
MR. TOMMY FRED MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5118 STONEWSLL SQ, JACKSONVILLE, AR 72076
(501) 982-0518
(501) 985-2220
Mailing address
6O BOX 251970, LITTLE ROCK, AR 72225-1970
(501) 666-8686
(501) 660-6830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P9508022
AR
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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