Individual
ADDY PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.H.P.P
Contact information
Practice address
1415 S OSWEGO AVE, RUSSELLVILLE, AR 72802-2646
(479) 967-3370
(479) 967-2775
Mailing address
1415 S OSWEGO AVE, RUSSELLVILLE, AR 72802-2646
(479) 967-3370
(479) 967-2775
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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