Individual
MINNIE ETHEL WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT MMPH
Contact information
Practice address
900 W POPLAR ST STE 100, MC CRORY, AR 72101-8266
(866) 533-1757
Mailing address
P.O. BOX 2578, BATVILLE, AR 72501
(870) 793-8900
(870) 633-2624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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