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1912114448
CHARLOTTE MIDDLEBROOK
BLYTHEVILLE, AR
NPI
1912114448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
CHARLOTTE MIDDLEBROOK BA MHPP
1510 BYRUM RD
BLYTHEVILLE, AR 72315-8033
Phone number: 870-532-2600
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Mailing Address
CHARLOTTE MIDDLEBROOK BA MHPP
384 N HOLLYWOOD ST
BLYTHEVILLE, AR 72315-2514
Phone number: 870-780-1306
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