Individual
MADISON CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 FOX MEADOW LN, JONESBORO, AR 72404-9344
(870) 910-7817
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11280-M
AR
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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