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ERICA LEMASTERS MCCORKLE

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

Registrant NPI Number: 1083917520

Individual Registrant:
 ERICA  LEMASTERS MCCORKLE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
900 W POPLAR ST STE 200  MC CRORY, AR 72101-8267 US
Tel: 866-533-1757  Fax: --

Contact information for business:
PO BOX 2578  BATESVILLE, AR 72503-2578 US
Tel: 866-533-1757  Fax: --

Registration Information:
NPI: 1083917520
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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