Individual
DWAIN WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4451 N WASHINGTON ST, FORREST CITY, AR 72335-7711
(870) 228-5011
Mailing address
4451 N WASHINGTON ST, FORREST CITY, AR 72335-7711
(870) 228-5011
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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