Individual
CODY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 E CRANDALL AVE, HARRISON, AR 72601-3629
(870) 741-8484
Mailing address
107 E CRANDALL AVE, HARRISON, AR 72601-3629
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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