Individual
BREANNA SHOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
503 SE LINDSEY ST, HOXIE, AR 72433-2224
(870) 886-1333
Mailing address
PO BOX 299, HOXIE, AR 72433-0299
(870) 886-1333
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
7968-C
AR
251B00000X
Case Management Agency
—
—
Other
Enumeration date
06/11/2010
Last updated
07/09/2020
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