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MS. AUGUST MIRIAH BRUCE LMSW

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

Registrant NPI Number: 1629351242

Individual Registrant:
MS. AUGUST MIRIAH BRUCE LMSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2135 MALCOLM AVE  NEWPORT, AR 72112-3631 US
Tel: 870-523-8004  Fax: --

Contact information for business:
600 HUGHEY LN  BATESVILLE, AR 72501-8409 US
Tel: 870-612-7782  Fax: --

Registration Information:
NPI: 1629351242
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
AR10260-M

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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