MICKEY GRAHAM

FORT SMITH, AR
NPI1235543935
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-06-20
Last Update Date2015-05-29
Business Address
-- MICKEY GRAHAM MHPP
1340 S WALDRON RD
FORT SMITH, AR 72903-2556
Phone number: 479-452-5040
Mailing Address
-- MICKEY GRAHAM MHPP
PO BOX 23070
BARLING, AR 72923-0070
Phone number: 479-452-5040