Individual
CYNTHIA D YULICH RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1539 C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W369
BLUECROSS BLUESHIELD
AR
Enumeration date
07/01/2006
Last updated
08/25/2009
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