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Individual

DR. R. JOSETTE CLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(479) 444-7575
(479) 443-9554
Mailing address
1748 N APPLEBURY PL, FAYETTEVILLE, AR 72701-2505
(479) 251-7798

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
01-05P
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5W371
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
08/23/2006
Last updated
07/08/2007
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