Individual
COTY WILLYERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
603 W FLEEMAN STE 4, MANILA, AR 72442-9171
(870) 570-0358
(870) 570-0359
Mailing address
603 W FLEEMAN STE 4, MANILA, AR 72442-9171
(870) 570-0358
(870) 570-0359
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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