Freeman Todd Henderson CMP

NPI 1649485319 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1649485319
Gender Male
Enumeration Date 05/14/2007
Last Updated 10/01/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1502 MARY KAY BLVD
BENTON AR, 72015, US
Phone (501) 315-3344
Fax
Business Location
PO BOX 1589
BENTON AR, 72018-1589, US
Phone (501) 315-3344
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Freeman Todd Henderson CMP NPI is 1649485319, taxonomy code is 171M00000X Freeman Todd Henderson CMP physically located at 1502 Mary Kay Blvd, Benton AR, 72015. NPI Number Freeman Todd Henderson CMP has the Individual type.

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1649485319 NPI number is provided on an as is basis without warranty of any kind. 1649485319 is maintained by the National Plan & Provider Enumeration System. The contents of Freeman Todd Henderson CMP are for informational purposes only.