Shawna Larae Miller
Case Manager/Care Coordinator in Caraway, AR. Individual provider (NPI-1).
NPI number1962044263
StatusActive
Last updated in NPPESOct 8, 2019
Details
- NPI
- 1962044263
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shawna Larae Miller
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2019
- Last updated
- Oct 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | AR | Yes |
Practice location
1895 County Road 855Caraway, AR 72419-8649
Phone 870-926-1507
Mailing address
1895 County Road 855Caraway, AR 72419-8649
Phone 870-926-1507
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