Individual
MR. DANIEL SHELTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
316 MAIN ST, LAKE VILLAGE, AR 71653-1942
(870) 265-2186
Mailing address
518 BELLOTT ST, HAMBURG, AR 71646-2504
(870) 940-1672
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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