Individual
GABRIELLE ROLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N SHAMROCK BLVD, RUSSELLVILLE, AR 72802-9658
(501) 303-3105
Mailing address
210 N SHAMROCK BLVD, RUSSELLVILLE, AR 72802-9658
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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