Individual
JENNIFER PELTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 S CENTRAL ST, CLARKSVILLE, AR 72830-3601
(479) 452-5040
(479) 452-5047
Mailing address
PO BOX 23070, BARLING, AR 72923-0070
(479) 452-5040
(479) 452-5047
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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