Individual
CASEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RECOVERY ASSISTANT
Contact information
Practice address
210 N SHAMROCK BLVD, RUSSELLVILLE, AR 72802-9658
(501) 315-3344
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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