Individual
JAUNELLA MICHELE DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
2610 N HILLS BLVD, VAN BUREN, AR 72956-6596
(469) 644-7714
Mailing address
2610 N HILLS BLVD, VAN BUREN, AR 72956-6596
(463) 644-7714
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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