Individual
CORDELL BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 PARKER ST, N LITTLE ROCK, AR 72114-4546
(501) 374-3676
Mailing address
PO BOX 251970, LITTLE ROCK, AR 72225-1970
(501) 666-8686
(501) 660-6830
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/12/2007
Last updated
01/23/2025
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