DONAVON DERUSSE

FORT SMITH, AR
NPI1770836744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: AR  6682-M)
Enumeration Date2012-10-16
Last Update Date2012-10-16
Business Address
-- DONAVON DERUSSE LMSW
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
Mailing Address
-- DONAVON DERUSSE LMSW
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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