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AMBER BEASLEY
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1942510953
Individual Registrant: AMBER BEASLEY
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
701 ARKANSAS BLVD. TEXARKANA, AR 71854 US
Tel: 870-772-5028 Fax: 870-772-5056
Tel: 870-772-5028 Fax: 870-772-5056
Contact information for business:
3352 N FUTRALL DRIVE FAYETTEVILLE, AR 72703 US
Tel: 479-521-5868 Fax: --
Tel: 479-521-5868 Fax: --
Registration Information:
NPI: 1942510953
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
