Willie Braxton
Willie Braxton is a Case Manager/Care Coordinator in Russellville, Arkansas. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1310 W Main St Ste 100Russellville, AR 72801-2803
Phone: (479) 964-2011
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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 | 1780464677 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 29, 2023 |
| Last updated in NPPES | September 29, 2023 |
| Certification date | September 29, 2023 |
| Mailing address | 1310 W Main St Ste 201, Russellville, AR 72801-2803 |
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