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WALTER ARCHIE

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

Registrant NPI Number: 1508309121

Individual Registrant:
 WALTER  ARCHIE 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
701 ARKANSAS BLVD  TEXARKANA, AR 71854-2105 US
Tel: 870-772-5028  Fax: 870-772-2138

Contact information for business:
701 ARKANSAS BLVD  TEXARKANA, AR 71854-2105 US
Tel: 870-772-5028  Fax: 870-772-2138

Registration Information:
NPI: 1508309121
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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