DEMETRIC DEWAYNE GROSS

LITTLE ROCK, AR
NPI1154896702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2018-10-10
Last Update Date2018-10-10
Business Address
MR. DEMETRIC DEWAYNE GROSS QBHP
20400 COL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
Mailing Address
MR. DEMETRIC DEWAYNE GROSS QBHP
20400 COL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
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