DAMMICCAH ALSUP

STAR CITY, AR
NPI1740661842
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-06-15
Last Update Date2015-06-16
Business Address
-- DAMMICCAH ALSUP BA
612 E ARKANSAS ST
STAR CITY, AR 71667-4842
Phone number: 870-628-4181
Mailing Address
-- DAMMICCAH ALSUP BA
2500 RIKE DR
PINE BLUFF, AR 71603-3937
Phone number: 870-534-1834
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