Individual
DONNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, MHPP
Contact information
Practice address
4 EAST VILLAGE MALL, CHEROKEE VILLAGE, AR 72529
(870) 257-3336
(870) 257-3339
Mailing address
PO BOX 176, CHEROKEE VILLAGE, AR 72525-0176
(870) 257-3336
(870) 257-3339
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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