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ANGELA CLAY CMP

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1609063502

Individual Registrant:
 ANGELA  CLAY CMP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
218 DOGWOOD HOLLOW RD  MOUNTAIN VIEW, AR 72560-7942 US
Tel: 870-269-7732  Fax: --

Contact information for business:
PO BOX 1589  BENTON, AR 72018-1589 US
Tel: 501-315-3344  Fax: --

Registration Information:
NPI: 1609063502
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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