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NPI Profile for ROBERT M IMBODEN JR in TRUMANN, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1780384180 |
|
| Status | Active | |
| Credentials | LAC | |
| Entity | Individual | |
| Enumeration date | 03/06/2023 | |
| Last updated | 07/30/2025 - About 10 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ROBERT M IMBODEN JR
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ROBERT M IMBODEN JR, LAC