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Mikayla Maria Alderson

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

NPI number1851808596
StatusActive
Last updated in NPPESJan 3, 2018

Details

NPI
1851808596
Entity type
Individual (NPI-1)
Name
Mikayla Maria Alderson
Sex
Female
Sole proprietor
No
Enumeration date
Jan 3, 2018
Last updated
Jan 3, 2018

Taxonomy and licenses

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

Practice location

1701 Donaghey Ave
Conway, AR 72032-2511

Phone 501-327-1701 · Fax 501-327-3234

Mailing address

110 Skyline Dr
Russellville, AR 72801-3362

Phone 479-968-1298 · Fax 479-968-6053

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