Individual
DONNA ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 FRANKIE LN, 204, WHITE HALL, AR 71602-2699
(870) 247-2305
(870) 247-2330
Mailing address
2405 MCCONNELL CIR, APT. 12, PINE BLUFF, AR 71602-3323
(870) 502-9439
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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