Individual
DESTINY A SCRAPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 W MORGAN ST, PARAGOULD, AR 72450-2850
(870) 239-4222
Mailing address
1011 W MORGAN ST, PARAGOULD, AR 72450-2850
(870) 239-4222
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
07/17/2023
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