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1801402243
HEATHER LACKEY
MENA, AR
NPI
1801402243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-21
Last Update Date
2020-09-21
Business Address
HEATHER LACKEY QBHP
307 CHERRY ST
MENA, AR 71953-4382
Phone number: 479-394-5277
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Mailing Address
HEATHER LACKEY QBHP
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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