Individual
DEMETRIA DECLOUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 W TYLER AVE, WEST MEMPHIS, AR 72301-4149
(870) 733-1200
(870) 732-3269
Mailing address
413 W TYLER AVE, WEST MEMPHIS, AR 72301-4149
(870) 733-1200
(870) 732-3269
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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