Doctor Name: | SHARON CAGLE |
NPI Number: | 1467401307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW DCSW |
License Number: | 050C |
Business Practice Address: | 121 Commercial Drive B Stuttgart, AR - 72160 |
Business Phone Number: | 8706731633 |
Business Fax Number: | 8706731253 |
Mailing Address: | 2500 Rike Drive, PINE BLUFF |
State: | AR |
Postal Code: | 71603 |
Phone Number: | 8705341834 |
Fax Number: | 8705345798 |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 03/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 050C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |