Debose, Ila Maureen
Debose, Ila Maureen is an sole proprietor health care provider with primary practice located at 4943 Old Greenwood Rd Suite 2, Fort Smith AR 72903-6923. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Debose, Ila Maureen can be contacted via phone (479) 719-7051.Contact Information
Primary practice address
4943 Old Greenwood Rd Suite 2
Fort Smith AR 72903-6923
Phone: (479) 719-7051
Fax: (479) 242-2653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2158-C | Arkansas |
Profile Details
| NPI number | 1740477322 |
|---|---|
| LBN Legal business name | Debose, Ila Maureen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2007 |
| Last updated | Apr 9th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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