Individual
ADAWNDA J MINNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1801 CAVANAUGH RD LOT 37, FORT SMITH, AR 72908-7758
(479) 653-2513
Mailing address
1801 CAVANAUGH RD LOT 37, FORT SMITH, AR 72908-7758
(479) 653-2513
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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