Individual
DEBRA ANN CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 W 34TH AVE, PINE BLUFF, AR 71603-5508
(870) 534-7392
(870) 534-7297
Mailing address
32 S RICHARD DR, PINE BLUFF, AR 71602-4716
(870) 872-1659
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
AR
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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