LOGAN UNDERWOOD

MAMMOTH SPRING, AR
NPI1174368492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-06-27
Last Update Date2024-06-27
Business Address
LOGAN UNDERWOOD QBHP/Case Manager
1355 TATE AVE
MAMMOTH SPRING, AR 72554-8064
Phone number: 870-625-0273
Mailing Address
LOGAN UNDERWOOD QBHP/Case Manager
PO BOX 1134
MAMMOTH SPRING, AR 72554-1134
Phone number: 870-625-0273
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