Individual
MR. ABE LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
63 N CAROLINA ST, MARIANNA, AR 72360
(870) 295-3300
Mailing address
703 CALVIN AVERY DR, WEST MEMPHIS, AR 72301-6501
(870) 732-1878
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1858-M
AR
Other
Enumeration date
03/06/2007
Last updated
08/27/2018
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