JEANIE RAY SHADE

BENTONVILLE, AR
NPI1659048809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AR  12579-C)
Enumeration Date2021-08-25
Last Update Date2023-12-06
Business Address
JEANIE RAY SHADE LCSW
1001 SE 28TH ST
BENTONVILLE, AR 72712-3205
Phone number: 479-403-2915
Mailing Address
JEANIE RAY SHADE LCSW
53 NANTUCKET DR
BELLA VISTA, AR 72715-8178
Phone number: 208-749-4323
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