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1568401602
BRUCE R ALLEN
FAYETTEVILLE, AR
NPI
1568401602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR C007)
Enumeration Date
2006-06-05
Last Update Date
2007-07-08
Business Address
Mr. BRUCE R ALLEN M.S.W.
111 E DAVIDSON ST P.O. BX. 3724
FAYETTEVILLE, AR 72701-3413
Phone number: 479-582-4422
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Mailing Address
Mr. BRUCE R ALLEN M.S.W.
620 N OLIVE AVE
FAYETTEVILLE, AR 72701-3527
Phone number: 479-582-4422
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