Individual
EMILY WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4171 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4591
(479) 443-6496
Mailing address
4171 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4591
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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