Provider Information for 1760639678
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CASHEENA WARE LPC
Sex: Female
NPI: 1760639678
Last Updated: 2021-09-15
Certification Date: 2021-09-15
Certification Date: 2021-09-15
Details
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NPI | 1760639678 | ||||||||
Enumeration Date | 2008-08-21 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 2809 FOREST HOME RD JONESBORO, AR 72401-5320 United States Phone: 866-972-1268 | Fax: | ||||||||
Primary Practice Address | 2200 E MATTHEWS AVE JONESBORO, AR 72401-4347 United States Phone: 870-972-1268 | Fax:870-934-0847 | ||||||||
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