Individual
ALYSSA NICOLE MAHANAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3302 E MOORE AVE, SEARCY, AR 72143-4886
(501) 268-4181
Mailing address
PO BOX 8179, SEARCY, AR 72145-8179
(501) 268-4181
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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