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1457473183
MICHAEL PATRICK PROVEAUX
LITTLE ROCK, AR
NPI
1457473183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 1667-c)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL PATRICK PROVEAUX LCSW
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
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Mailing Address
Mr. MICHAEL PATRICK PROVEAUX LCSW
2611 W CAPITOL AVE
LITTLE ROCK, AR 72205-5901
Phone number: 501-960-9609
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