Individual
MS. ESSIE L HEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TARGETED CASE MANAGE
Contact information
Practice address
6311 WEST 83RD STREET, SUITE B, LITTLE ROCK, AR 72214
(501) 562-2788
(501) 562-2784
Mailing address
6311 WEST 63RD, LITTLE ROCK, AR 72209
(501) 562-2788
(501) 562-2784
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
121985746
AR
171M00000X
Case Manager/Care Coordinator
Primary
140168763
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121985746
TARGETED CASE MANAGER
AR
01
—
140168763
GROUP TARGETED CASE MANAGER NUMBER
AR
Enumeration date
03/30/2011
Last updated
03/30/2011
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