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Individual

LATRICE LACHELLE MCCLINTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
206 LAKE STREET, PARKIN, AR 72373
(870) 755-2737
(870) 551-3724
Mailing address
PO BOX 2192, FORREST CITY, AR 72336-2192
(870) 208-8362
(870) 208-8384

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
07/10/2023
Last updated
07/10/2023
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