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ERICA D BEAL

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

Registrant NPI Number: 1932691565

Individual Registrant:
 ERICA D BEAL 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1510 BYRUM RD  BLYTHEVILLE, AR 72315-8033 US
Tel: 870-532-2600  Fax: --

Contact information for business:
3012 TURMAN DR  JONESBORO, AR 72404-8998 US
Tel: 870-819-0200  Fax: --

Registration Information:
NPI: 1932691565
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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