Latara Ridgell, MHPP
NPI #1073961058 in Forrest City, Arkansas
Provider Information
- NPI Number
- 1073961058
- Entity Type
- Individual
- Name
- Latara Ridgell, MHPP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- MHPP
- Enumeration Date
- May 31, 2016
- Last Updated
- May 31, 2016
Practice Location
- Address
- 1825 E BROADWAY ST
- City
- Forrest City
- State
- Arkansas
- ZIP Code
- 72335-3409
- Phone
- (870) 630-2328
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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