Lucretia Leann Bostic, MHPP

NPI #1932357902 in Paragould, Arkansas

Provider Information

NPI Number: 1932357902
Entity Type: Individual
Name: Lucretia Leann Bostic, MHPP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MHPP
Enumeration Date: Sep 3, 2008
Last Updated: Sep 3, 2008

Practice Location

Address: 1910 MOCKINGBIRD LN
City: Paragould
State: Arkansas
ZIP Code: 72450-5806
Phone: (870) 240-0671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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