Individual
MISTY COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ECDT/MHPP
Contact information
Practice address
1005 BALCOM LN, TRUMANN, AR 72472-9502
(870) 483-1461
Mailing address
1005 BALCOM LN, TRUMANN, AR 72472-9502
(870) 483-1461
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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