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Individual

AMANDA GILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMP

Contact information

Practice address
2210 PINE ST, ARKADELPHIA, AR 71923-4331
(870) 245-2210
Mailing address
2210 PINE ST, ARKADELPHIA, AR 71923-4331
(870) 245-2210

Taxonomy

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

Other

Enumeration date
10/08/2009
Last updated
11/24/2015
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