Individual
CANDACE BEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMP
Contact information
Practice address
704 4TH AVE, CONWAY, AR 72032-5808
(501) 548-9905
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
—
—
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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