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Individual

MEGAN CHRISTENSEN SHUMAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2904 ARKANSAS BLVD, TEXARKANA, AR 71854-2536
(870) 773-4655
(870) 772-4650
Mailing address
2904 ARKANSAS BLVD, TEXARKANA, AR 71854-2536
(870) 773-4655
(870) 772-4650

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
2194-M
AR
104100000X
Social Worker
52158
TX
1041C0700X
Clinical Social Worker
Primary
2529-C
AR

Other

Enumeration date
08/18/2008
Last updated
10/12/2010
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