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KAMILLAH KARRIEM QBHP

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

Registrant NPI Number: 1205480951

Individual Registrant:
 KAMILLAH  KARRIEM QBHP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
201 S ROSE ST  SHERIDAN, AR 72150-2451 US
Tel: 870-917-2171  Fax: 870-917-2161

Contact information for business:
201 S ROSE ST  SHERIDAN, AR 72150-2451 US
Tel: 870-917-2171  Fax: 870-917-2161

Registration Information:
NPI: 1205480951
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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