Individual
CECILY SHAE FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
708 HWY 65 SOUTH, DUMAS, AR 71639
(870) 382-4001
(870) 382-6094
Mailing address
790 ROBERTS DRIVE, MONTICELLO, AR 71655
(870) 367-2461
(870) 460-6133
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
L47894
AR
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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