Individual
ANNDEE R VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
827 W HARVARD ST, SILOAM SPRINGS, AR 72761-4013
(479) 750-2020
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313698795
—
AR
Enumeration date
01/16/2024
Last updated
09/17/2024
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