Individual
MISS HANNAH RHEA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.C.
Contact information
Practice address
120 MEGHAN LN., JUDSONIA, AR 72081
(150) 172-9447
Mailing address
PO 8241, SEARCY, AR 72143
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1309113
AR
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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