Individual
MR. BRUCE R ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
111 E DAVIDSON ST, P.O. BX. 3724, FAYETTEVILLE, AR 72701-3413
(479) 582-4422
(208) 330-8228
Mailing address
620 N OLIVE AVE, FAYETTEVILLE, AR 72701-3527
(479) 582-4422
(208) 330-8228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007
AR
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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