Individual
MANDI MACHELLE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 MISSISSIPPI ST S, WYNNE, AR 72396-3025
(870) 208-8499
Mailing address
204 MISSISSIPPI ST S, WYNNE, AR 72396-3025
(870) 208-8499
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2203005
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/08/2021
Last updated
09/22/2022
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