Individual
CASEY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMP
Contact information
Practice address
104 CONNIEBROOK LN, MELBOURNE, AR 72556-8861
(870) 368-5242
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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