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LISA L CHEW MHPP

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

Registrant NPI Number: 1134554116

Individual Registrant:
 LISA L CHEW MHPP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
634 W MAIN ST  BLYTHEVILLE, AR 72315-3336 US
Tel: 870-780-6986  Fax: 870-780-6987

Contact information for business:
634 W MAIN ST  BLYTHEVILLE, AR 72315-3336 US
Tel: 870-780-6986  Fax: 870-780-6987

Registration Information:
NPI: 1134554116
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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