Individual
CORY PRESTON KACZMARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2560 OLD COUNTY RD, POCAHONTAS, AR 72455-4118
(870) 892-7111
(870) 892-0930
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4961
(870) 972-4088
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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