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Individual

BOBBY WAYNE ADKISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
317 W INDUSTRIAL PARK RD, HARRISON, AR 72601-6804
(870) 741-2960
(870) 741-2965
Mailing address
317 W INDUSTRIAL PARK RD, HARRISON, AR 72601-6804
(870) 741-2960
(870) 741-2965

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1105050
AR

Other

Enumeration date
09/12/2011
Last updated
09/12/2011
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