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Search › Arkansas › 101Y00000X

Tera Dacus, MHP

NPI 1891080909 · on the registry since 2011

Practice

Address
1505 S. Oswego Ave
Russellville, AR 72802
Phone
(479) 967-3370
Fax
(479) 967-2775
Organisation at this address
Community Service, Inc
Conway County Community Service Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
104100000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas