Ethan Stockett, MHPP

NPI #1285919670 in Harrison, Arkansas

Provider Information

NPI Number
1285919670
Entity Type
Individual
Name
Ethan Stockett, MHPP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
MHPP
Enumeration Date
Oct 17, 2011
Last Updated
Oct 17, 2011

Practice Location

Address
121 SAWGRASS PT
ZIP Code
72601-3072
Phone
(870) 391-3871

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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