Individual
MR. COLBY DISMUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 BOUNDARY ST, MAGNOLIA, AR 71753-3305
(870) 234-2600
(870) 234-2606
Mailing address
301 BOUNDARY ST, MAGNOLIA, AR 71753-3305
(870) 234-2600
(870) 234-2606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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