Tracey Eason MHPP

NPI 1205220928 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1205220928
Gender Female
Enumeration Date 03/19/2015
Last Updated 03/19/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
320 LEE AVE
EARLE AR, 72331-2159, US
Phone (870) 792-7769
Fax
Business Location
703 CALVIN AVERY DR
SUITE A
WEST MEMPHIS AR, 72301-6501, US
Phone (870) 732-1878
Fax (870) 702-7111
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Ms. Tracey Eason MHPP NPI is 1205220928, taxonomy code is 171M00000X Tracey Eason MHPP physically located at 320 Lee Ave, Earle AR, 72331-2159. NPI Number Tracey Eason MHPP has the Individual type.

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1205220928 NPI number is provided on an as is basis without warranty of any kind. 1205220928 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Eason MHPP are for informational purposes only.