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1114264298
CHARLES LAVIE DEVILLE
NORTH LITTLE ROCK, AR
NPI
1114264298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 1203-C)
Enumeration Date
2013-01-10
Last Update Date
2016-05-26
Business Address
-- CHARLES LAVIE DEVILLE LCSW
2200 FORT ROOTS DR MENTAL HEALTH SERVICE (116/NLR)
NORTH LITTLE ROCK, AR 72114-1709
Phone number: 501-257-3190
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Mailing Address
-- CHARLES LAVIE DEVILLE LCSW
2200 FORT ROOTS DR MENTAL HEALTH SERVICE (116/NLR)
NORTH LITTLE ROCK, AR 72114-1709
Phone number: 501-257-3190
Copy
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