Individual
CODY L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 DAVID ST, CORNING, AR 72422-7268
(870) 857-3655
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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