Whalio Doctors

NPI 1053691394

Coty Camille Bahler, PLMSW

Practitioner Social Worker Jacksonville, AR

Practice location

Address
2411 W Main St, Jacksonville, AR 72076-4211
Phone
(501) 982-5402
Fax
(501) 533-6378
Mailing address
2411 W Main St PO Box 647, Jacksonville, AR 72076-4211

Registered specialties

Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 104100000X

Registry record

NPI
1053691394
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Aug 2011
Record last updated
18 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.