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DAWN BRASEL MHPP
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1073940516
Individual Registrant: DAWN BRASEL MHPP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
823 N MAIN ST HARRISON, AR 72601-2914 US
Tel: 870-741-2960 Fax: 870-741-2965
Tel: 870-741-2960 Fax: 870-741-2965
Contact information for business:
823 N MAIN ST HARRISON, AR 72601-2914 US
Tel: 870-741-2960 Fax: 870-741-2965
Tel: 870-741-2960 Fax: 870-741-2965
Registration Information:
NPI: 1073940516
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 |
|---|---|---|---|
