Individual
AL DANDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6601 W 12TH ST, LITTLE ROCK, AR 72204-1513
(501) 666-8686
(501) 660-6830
Mailing address
6601 W 12TH ST, LITTLE ROCK, AR 72204-1513
(501) 666-8686
(501) 660-6830
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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