Individual
DAWN DEFFENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 JACKSON ST SW, CAMDEN, AR 71701-3941
(870) 836-5743
Mailing address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 864-2417
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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