Individual
CASSIDY BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 N VINE, MAGNOLIA, AR 71753-2842
(870) 234-7500
Mailing address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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