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LISA BOLTON MHPP
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1679839815
Individual Registrant: LISA BOLTON MHPP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
4001 COMMERCIAL CENTER DR STE 2 MARION, AR 72364-9616 US
Tel: 870-735-4441 Fax: 870-735-5441
Tel: 870-735-4441 Fax: 870-735-5441
Contact information for business:
4001 COMMERCIAL CENTER DR STE 2 MARION, AR 72364-9616 US
Tel: 870-735-4441 Fax: 870-735-5441
Tel: 870-735-4441 Fax: 870-735-5441
Registration Information:
NPI: 1679839815
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 |
|---|---|---|---|
