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Individual

COREY FOREMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
207 W CHESTNUT ST, MARIANNA, AR 72360-2071
(870) 630-2328
Mailing address
PO BOX 2192, FORREST CITY, AR 72336-2192

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2407005
AR
101YM0800X
Mental Health Counselor
Primary
P2603011
AR
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
03/21/2007
Last updated
05/08/2026
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