Individual
ANTAWANNA MARSHAY WITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
139 SOUTH MAIN STREET, DUMAS, AR 71639
(870) 382-0735
(870) 382-0738
Mailing address
139 SOUTH MAIN STREET, DUMAS, AR 71639
(870) 382-0735
(870) 382-0738
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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