Individual
DANA CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
373H00000X
Contact information
Practice address
1801 N BUERKLE ST, STUTTGART, AR 72160-2519
(870) 659-6221
Mailing address
1801 N BUERKLE ST, STUTTGART, AR 72160-2519
(870) 659-6221
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
373H00000X
EASTERSEALS
AR
Enumeration date
11/20/2017
Last updated
06/16/2018
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