Individual
ALISSIA BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6425 W 12TH ST, LITTLE ROCK, AR 72204-1509
(501) 666-8686
Mailing address
5800 W 12TH ST STE 101, LITTLE ROCK, AR 72204-1607
(501) 666-8686
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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