Individual
CARLIE MERRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1298 W LOWERY RD, LEAD HILL, AR 72644-9684
(870) 421-2508
Mailing address
1298 W LOWERY RD, LEAD HILL, AR 72644-9684
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171XM00000X
AR
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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