Individual
MR. TOMMY BOZEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
620 SOUTH LAUREL STREET, PINE BLUFF, AR 71601
(870) 534-4900
Mailing address
620 S LAUREL ST, PINE BLUFF, AR 71601-4859
(870) 534-4900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/20/2010
Last updated
03/22/2013
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