Individual
MRS. DAVA LORENE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2796 S 2ND ST STE E, CABOT, AR 72023-7043
(844) 514-5183
(501) 286-6046
Mailing address
2796 S 2ND ST STE E, CABOT, AR 72023-7043
(844) 514-5183
(501) 286-6046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
A0403016
AR
101YP2500X
Professional Counselor
Primary
P0711062
AR
Other
Enumeration date
09/13/2006
Last updated
09/08/2023
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