Individual
MRS. EVON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASEWORKER
Contact information
Practice address
1802 HWY 82 W, CROSSETT, AR 71635
(870) 364-7248
(870) 364-2249
Mailing address
PO BOX 1626, CROSSETT, AR 71635
(870) 304-3447
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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