Individual
GENESIS TIARA MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-5118
(870) 735-5260
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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