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MINNIE ETHEL WASHINGTON CIT MMPH

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1083946354

Individual Registrant:
 MINNIE ETHEL WASHINGTON CIT MMPH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
900 W POPLAR ST STE 100  MC CRORY, AR 72101-8266 US
Tel: 866-533-1757  Fax: --

Contact information for business:
P.O. BOX 2578  BATVILLE, AR 72501 US
Tel: 870-793-8900  Fax: 870-633-2624

Registration Information:
NPI: 1083946354
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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