Individual
MR. DWAYNE RASHUN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6501 W 12TH ST, LITTLE ROCK, AR 72204-1511
(501) 666-8686
Mailing address
1912 GREEN MOUNTAIN DR, APT 514 V, LITTLE ROCK, AR 72212-4066
(501) 952-6249
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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