Jeffery Dewitt MHPP

NPI 1043588270 - Counselor - 101YM0800X

NPI Details
NPI 1043588270
Gender Male
Enumeration Date 12/02/2011
Last Updated 12/02/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
20400 COL GLENN RD
LITTLE ROCK AR, 72210-5323, US
Phone (501) 821-5500
Fax
Business Location
20400 COL GLENN RD
LITTLE ROCK AR, 72210-5323, US
Phone (501) 821-5500
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mr. Jeffery Dewitt MHPP NPI is 1043588270, taxonomy code is 101YM0800X Jeffery Dewitt MHPP physically located at 20400 Col Glenn Rd, Little Rock AR, 72210-5323. NPI Number Jeffery Dewitt MHPP has the Individual type.

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1043588270 NPI number is provided on an as is basis without warranty of any kind. 1043588270 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffery Dewitt MHPP are for informational purposes only.