John B Wooten MHPP

NPI 1376653667 - Counselor - 101YM0800X

NPI Details
NPI 1376653667
Gender Male
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3111 S 70TH ST
FORT SMITH AR, 72903-5017, US
Phone (479) 452-6650
Fax (479) 452-5847
Business Location
3111 S 70TH ST
FORT SMITH AR, 72903-5017, US
Phone (479) 452-6650
Fax (479) 452-5847
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mr. John B Wooten MHPP NPI is 1376653667, taxonomy code is 101YM0800X John B Wooten MHPP physically located at 3111 S 70th St, Fort Smith AR, 72903-5017. NPI Number John B Wooten MHPP has the Individual type.

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1376653667 NPI number is provided on an as is basis without warranty of any kind. 1376653667 is maintained by the National Plan & Provider Enumeration System. The contents of John B Wooten MHPP are for informational purposes only.