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DONNA CORDELL MHPP
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1518467836
Individual Registrant: DONNA CORDELL MHPP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2135 MALCOLM AVE NEWPORT, AR 72112-3631 US
Tel: 870-523-8004 Fax: --
Tel: 870-523-8004 Fax: --
Contact information for business:
703 CALVIN AVERY DR WEST MEMPHIS, AR 72301-6501 US
Tel: 870-732-1878 Fax: 870-702-7111
Tel: 870-732-1878 Fax: 870-702-7111
Registration Information:
NPI: 1518467836
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 |
|---|---|---|---|
