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DONNA R BROWN

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

Registrant NPI Number: 1720606254

Individual Registrant:
 DONNA R BROWN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
209 S LOCKARD ST  BLYTHEVILLE, AR 72315-2541 US
Tel: 870-763-2139  Fax: --

Contact information for business:
2400 S 48TH ST  SPRINGDALE, AR 72762-6683 US
Tel: 479-725-5115  Fax: --

Registration Information:
NPI: 1720606254
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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