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MACKENZIE CAMPBELL

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

Registrant NPI Number: 1841647427

Individual Registrant:
 MACKENZIE  CAMPBELL 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1200 W CENTER ST  GREENWOOD, AR 72936-3716 US
Tel: 479-452-5040  Fax: 479-452-5047

Contact information for business:
PO BOX 23070  BARLING, AR 72923-0070 US
Tel: 479-452-5040  Fax: 479-452-5047

Registration Information:
NPI: 1841647427
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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