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Individual

JEREMY SPANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MHPP

Contact information

Practice address
3604 CENTRAL AVE, SUITE C, HOT SPRINGS, AR 71913-6403
(501) 663-5473
(501) 801-1816
Mailing address
3604 CENTRAL AVE, SUITE C, HOT SPRINGS, AR 71913-6403
(501) 663-5473
(501) 801-1816

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/14/2012
Last updated
02/14/2012
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