SHANE ANTHONY DAUGHERTY

LITTLE ROCK, AR
NPI1790646008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-11-18
Last Update Date2025-11-18
Business Address
SHANE ANTHONY DAUGHERTY
712 W 3RD ST
LITTLE ROCK, AR 72201-2220
Phone number: 501-379-4246
Mailing Address
SHANE ANTHONY DAUGHERTY
712 W 3RD ST
LITTLE ROCK, AR 72201-2220
Phone number: 501-379-4246
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