Individual
CHARLENE CARLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
522 MILLS RD., MAPLE DORM#7, CLARKSVILLE, AR 72830
(479) 705-0430
(479) 705-0430
Mailing address
522 MILL RD, MAPLE DORM#7, CLARKSVILLE, AR 72830-8511
(479) 705-0430
(479) 705-0430
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
04/16/2015
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