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1396019774
CHARLENE CARLIE
CLARKSVILLE, AR
NPI
1396019774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-03-01
Last Update Date
2015-04-16
Business Address
CHARLENE CARLIE MHPP
522 MILLS RD. MAPLE DORM#7
CLARKSVILLE, AR 72830
Phone number: 479-705-0430
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Mailing Address
CHARLENE CARLIE MHPP
522 MILL RD MAPLE DORM#7
CLARKSVILLE, AR 72830-8511
Phone number: 479-705-0430
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