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SYMONE AUTREY
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1396382412
Individual Registrant: SYMONE AUTREY
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2904 ARKANSAS BLVD TEXARKANA, AR 71854-2536 US
Tel: 870-773-4655 Fax: --
Tel: 870-773-4655 Fax: --
Contact information for business:
2904 ARKANSAS BLVD TEXARKANA, AR 71854-2536 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1396382412
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 |
|---|---|---|---|
