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Organization
C&D DISABILITY.INC
Active
Organization
C&D DISABILITY.INC
Active
Other names
Same
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA JEAN-LACY ROBERSON (CEO/)
(870) 879-6149
Entity
Organization
Contact information
Practice address
4806 W 9TH STREET, PINE BLUFF, AR 71603
(870) 879-6149
(870) 879-1998
Mailing address
4806 W 9TH AVE, PINE BLUFF, AR 71603-1683
(870) 879-6149
(870) 879-1998
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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