Individual
MIA D HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(890) 972-4939
(870) 972-4911
Mailing address
3808 KISKADEE CT, INDIANAPOLIS, IN 46228-1514
(317) 402-5572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2028-C
AR
1041C0700X
Clinical Social Worker
Primary
34004822A
IN
Other
Enumeration date
07/16/2006
Last updated
05/18/2016
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