Individual
CHANCEY JOELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 MAIN ST, MAMMOTH SPRING, AR 72554-7484
(870) 847-1057
Mailing address
674 BROADLEAF RD, MAMMOTH SPRING, AR 72554-9322
(870) 847-1057
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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