Individual
CARLOS DEFREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER
Contact information
Practice address
1825 E BROADWAY ST, FORREST CITY, AR 72335-3409
(870) 630-2328
(870) 630-2348
Mailing address
210 MANOR ST, MARION, AR 72364-1936
(870) 739-6818
(870) 739-1970
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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