Individual
COREY DEWAYNE HAYNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
103 N BAILEY, MONTICELLO, AR 71655
(870) 460-0493
(870) 460-0460
Mailing address
103 N BAILEY, MONTICELLO, AR 71655
(870) 460-0493
(870) 460-0460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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