CHARLES H SHIELDS

BENTONVILLE, AR
NPI1114170057
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2008-10-23
Last Update Date2008-10-23
Business Address
-- CHARLES H SHIELDS THERAPIST
2003 SE WALTON BLVD
BENTONVILLE, AR 72712-3725
Phone number: 479-464-5925
Mailing Address
-- CHARLES H SHIELDS THERAPIST
3352 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-521-5731