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1396090627
TAMMY CARTER
LAKE VILLAGE, AR
NPI
1396090627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-07-24
Last Update Date
2012-07-24
Business Address
-- TAMMY CARTER Case Manager Coordin
1127 SECOND STREET
LAKE VILLAGE, AR 71653
Phone number: 870-265-3810
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Mailing Address
-- TAMMY CARTER Case Manager Coordin
790 ROBERTS DRIVE
MONTICELLO, AR 71655
Phone number: 870-367-9732
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