Individual
MR. ROMULUS HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
829 HALBERT STREET, MALVERN, AR 72104
(501) 332-4400
(501) 332-4403
Mailing address
144 FAIRWOOD CIRCLE, HOT SPRINGS, AR 71913-2671
(501) 767-4542
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
393C
AR
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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