Carlon Gragg
Carlon Gragg is a Case Manager/Care Coordinator in Malvern, Arkansas. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1628 E Page AveMalvern, AR 72104-4524
Phone: (501) 315-3344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1376146225 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 20, 2020 |
| Last updated in NPPES | November 20, 2020 |
| Certification date | November 20, 2020 |
| Mailing address | Po Box 1589, Benton, AR 72018-1589 |
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