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Individual

JESSICA L GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHPP

Contact information

Practice address
1100 BOB COURTWAY DR STE 9, CONWAY, AR 72032-4767
(501) 328-5525
(501) 328-5342
Mailing address
1100 BOB COURTWAY DR STE 9, CONWAY, AR 72032-4767
(501) 328-5525
(501) 328-5342

Taxonomy

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

Other

Enumeration date
04/12/2012
Last updated
04/12/2012
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