Individual
MR. RODRICK JAMES CRUTCHFIELD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
632 W BROADWAY ST, NORTH LITTLE ROCK, AR 72114-5526
(501) 955-2674
Mailing address
632 W BROADWAY ST, NORTH LITTLE ROCK, AR 72114-5526
(501) 955-2674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
AR
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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