Individual
GLENCORA WITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
100 S UNIVERSITY AVE, STE 401, LITTLE ROCK, AR 72205-5213
(501) 663-5473
(501) 801-1816
Mailing address
100 S UNIVERSITY AVE, STE 401, LITTLE ROCK, AR 72205-5213
(501) 663-5473
(501) 801-1816
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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