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Contact Information

LATASHA AGE, MHPP
7500 DOLLARWAY RD STE 105
WHITE HALL, AR71602-3082
 Phone: 870-247-2305
 Fax: 870-247-2330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for LATASHA AGE · (Female)

NPI # 1932485075
Status Active
Credentials MHPP
Entity Individual
Enumeration date 11/02/2011
Last updated 11/02/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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