EBONY BIONICA JORDAN

PRESCOTT, AR
NPI1235565714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: AR  A1906081)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2013-09-17
Last Update Date2019-07-08
Business Address
EBONY BIONICA JORDAN
1658 US HIGHWAY 371
PRESCOTT, AR 71857-7064
Phone number: 870-887-3660
Mailing Address
EBONY BIONICA JORDAN
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: 870-773-4655