Individual
JOANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 AUTUMN RD, SUITE 4, LITTLE ROCK, AR 72211-3704
(501) 221-1941
(501) 224-1340
Mailing address
7500 ROYAL OAKS DR, LITTLE ROCK, AR 72209-5062
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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