Individual
CARLY NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
1101 W MORGAN ST STE 8, PARAGOULD, AR 72450-2848
(870) 335-9483
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72405-7870
(870) 933-6886
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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