Individual
CAITLIN NICOLE BRANSCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 N CARDINAL DR STE 7, MOUNTAIN HOME, AR 72653-3274
(870) 425-5644
(870) 424-2201
Mailing address
707 N CARDINAL DR STE 7, MOUNTAIN HOME, AR 72653-3274
(870) 425-5644
(870) 424-2201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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