Individual
WYTESHIA HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W CALHOUN, MAGNOLIA, AR 71753-3508
(870) 234-1597
Mailing address
301 W CALHOUN, MAGNOLIA, AR 71753-3508
(870) 234-1597
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
25629
AR
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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