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SHILONDA ALCORN RECOVERY ASSISTANT

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

Registrant NPI Number: 1962772814

Individual Registrant:
 SHILONDA  ALCORN RECOVERY ASSISTANT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6701 HIGHWAY 67 BLDG 4  BENTON, AR 72015-8909 US
Tel: 501-315-3344  Fax: --

Contact information for business:
PO BOX 1589  BENTON, AR 72018-1589 US
Tel: 501-315-3344  Fax: --

Registration Information:
NPI: 1962772814
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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