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Emma M Ellis

Case Manager/Care Coordinator in Fayetteville, AR. Individual provider (NPI-1).

NPI number1083176945
StatusActive
Last updated in NPPESApr 1, 2019

Details

NPI
1083176945
Entity type
Individual (NPI-1)
Name
Emma M Ellis
Sex
Female
Sole proprietor
No
Enumeration date
Apr 1, 2019
Last updated
Apr 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

60 W Sunbridge Dr
Fayetteville, AR 72703-1822

Phone 479-695-1240 · Fax 479-750-4843

Mailing address

2400 S 48th St
Springdale, AR 72762-6683

Phone 479-750-2020 · Fax 479-750-4843

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