Individual
CHASITY LAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 W MAIN ST STE A, TRUMANN, AR 72472-2634
(870) 275-3774
Mailing address
825 CHRISTY AVE, TRUMANN, AR 72472-1325
(870) 275-3774
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
03/21/2019
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