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MRS. DORCAS ANN BRAZILE BSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1861618605

Individual Registrant:
MRS. DORCAS ANN BRAZILE BSW
Gender: F
Sole Proprietor

Location and contact information for practice:
1500 SCOTTWOOD ST  WEST MEMPHIS, AR 72301-3318 US
Tel: 870-702-6660  Fax: --

Contact information for business:
1500 SCOTTWOOD ST  WEST MEMPHIS, AR 72301-3318 US
Tel: 870-702-6660  Fax: --

Registration Information:
NPI: 1861618605
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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