Individual
JEREMIAH BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
1210 DEQUEEN ST, MENA, AR 71953-4132
(479) 394-3200
(479) 394-3205
Mailing address
1210 DEQUEEN ST, MENA, AR 71953-4132
(479) 394-3200
(479) 394-3205
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
09/17/2008
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