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Individual

ETHAN MCBRIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
QBHP

Contact information

Practice address
310 WHITTINGTON AVE, HOT SPRINGS, AR 71901-3406
(501) 623-3477
(501) 624-7479
Mailing address
311 WHITTINGTON AVE, HOT SPRINGS, AR 71901-3407
(501) 623-3477
(501) 624-7498

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/02/2023
Last updated
08/02/2023
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