Individual
DEBORAH BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 MARY KAY BLVD, BENTON, AR 72015
(501) 303-3105
Mailing address
1502 MARY KAY BLVD, BENTON, AR 72015
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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