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SUSAN ADAM
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1821251547
Individual Registrant: SUSAN ADAM
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
400 HARRISON ST SUITE 204 BATESVILLE, AR 72501-6916 US
Tel: 870-793-6774 Fax: --
Tel: 870-793-6774 Fax: --
Contact information for business:
400 HARRISON ST SUITE 204 BATESVILLE, AR 72501-6916 US
Tel: 870-793-6774 Fax: --
Tel: 870-793-6774 Fax: --
Registration Information:
NPI: 1821251547
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 |
|---|---|---|---|
