KAWARD LAVAN JOLLY

LITTLE ROCK, AR
NPI1811266299
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-12-14
Last Update Date2011-12-14
Business Address
Mr. KAWARD LAVAN JOLLY
7107 W 12TH ST
LITTLE ROCK, AR 72204-2404
Phone number: 501-663-1837
Mailing Address
Mr. KAWARD LAVAN JOLLY
7107 W 12TH ST
LITTLE ROCK, AR 72204-2404
Phone number: 501-663-1837