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ROSE ANNA CRAWFORD MHPP

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

Registrant NPI Number: 1205087525

Individual Registrant:
 ROSE ANNA CRAWFORD MHPP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
106 W 3RD ST  IMBODEN, AR 72434-9114 US
Tel: 870-869-1500  Fax: 870-869-1505

Contact information for business:
106 W 3RD ST  IMBODEN, AR 72434-9114 US
Tel: 870-869-1500  Fax: 870-869-1505

Registration Information:
NPI: 1205087525
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator
AR

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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