Shannon Porchia, SHIFT SUPVSR/MHPP

NPI #1013100940 in Malvern, Arkansas

Provider Information

NPI Number
1013100940
Entity Type
Individual
Name
Shannon Porchia, SHIFT SUPVSR/MHPP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
SHIFT SUPVSR/MHPP
Enumeration Date
Aug 23, 2007
Last Updated
Jun 21, 2011

Practice Location

Address
1628 E PAGE AVE
ZIP Code
72104-4524
Phone
(501) 332-4437

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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