Individual
MRS. JANICE W CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
544 E 16TH ST, YUMA, AZ 85365-2028
(928) 329-9115
(928) 782-6661
Mailing address
544 E 16TH ST, YUMA, AZ 85365-2028
(928) 329-9115
(928) 782-6661
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LCSW0111
AZ
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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