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Brayden Hardy

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

NPI number1083202170
StatusActive
Last updated in NPPESJun 9, 2021

Details

NPI
1083202170
Entity type
Individual (NPI-1)
Name
Brayden Hardy
Sex
Male
Sole proprietor
No
Enumeration date
Jan 5, 2021
Certification date
Jun 9, 2021
Last updated
Jun 9, 2021

Taxonomy and licenses

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

Practice location

3358 S 2nd St Ste A-C
Cabot, AR 72023-7873

Phone 501-286-6053 · Fax 501-286-6090

Mailing address

2809 Forest Home Rd
Jonesboro, AR 72401-5320

Phone 866-972-1268

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