TERRY GARDNER

FORT SMITH, AR
NPI1255730412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-08-13
Last Update Date2014-08-13
Business Address
-- TERRY GARDNER RDS, CIT,
615 N 19TH ST
FORT SMITH, AR 72901-3319
Phone number: 479-785-4083
Mailing Address
-- TERRY GARDNER RDS, CIT,
615 N 19TH ST
FORT SMITH, AR 72901-3319
Phone number: 479-785-4083