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Donisha Lafae Samuels

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

NPI number1255464699
StatusActive
Last updated in NPPESSep 11, 2015

Details

NPI
1255464699
Entity type
Individual (NPI-1)
Name
Donisha Lafae Samuels
Sex
Female
Sole proprietor
No
Enumeration date
Mar 14, 2007
Last updated
Sep 11, 2015

Taxonomy and licenses

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

Practice location

1658 Hwy 371 W
Prescott, AR 71857

Phone 870-887-3660 · Fax 870-887-2043

Mailing address

2904 Arkansas Blvd
Texarkana, AR 71854-2536

Phone 870-773-4655 · Fax 870-772-4650

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