Individual
MISS HOLLY WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 FITZHUGH ST, BATESVILLE, AR 72501-7409
(870) 793-3334
Mailing address
2040 FITZHUGH ST, BATESVILLE, AR 72501-7409
(870) 793-3334
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
919538362
AR
Other
Enumeration date
05/17/2007
Last updated
12/19/2012
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