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Tracy Lynn Davidson, MHPP

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

NPI number1124458534
StatusActive
Last updated in NPPESNov 21, 2013

Details

NPI
1124458534
Entity type
Individual (NPI-1)
Name
Tracy Lynn Davidson
Credential
MHPP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 21, 2013
Last updated
Nov 21, 2013

Taxonomy and licenses

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

Practice location

121 Sawgrass Pt
Harrison, AR 72601-3072

Phone 870-391-3871 · Fax 870-391-3874

Mailing address

4171 N Crossover Rd
Fayetteville, AR 72703-4591

Phone 870-391-3874 · Fax 870-391-3874

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