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WALTER ARCHIE
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1508309121
Individual Registrant: WALTER ARCHIE
Gender: M
Not Sole Proprietor
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
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
Tel: 870-772-5028 Fax: 870-772-2138
Registration Information:
NPI: 1508309121
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 |
|---|---|---|---|
