Individual
HALEY KATHRYN MEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 2ND AVE SW APT A, GRAVETTE, AR 72736-6009
(479) 212-8544
Mailing address
109 2ND AVE SW APT A, GRAVETTE, AR 72736-6009
(479) 212-8544
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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