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Individual

CHIQUITA R COURTNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ADULT CASE MANAGER

Contact information

Practice address
1127 SECOND STREET, LAKE VILLAGE, AR 71653
(870) 265-3808
(870) 265-2733
Mailing address
790 ROBERTS DRIVE, MONTICELLO, AR 71655
(870) 367-2461
(870) 460-6133

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/02/2014
Last updated
07/02/2014
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