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1255730412
TERRY GARDNER
FORT SMITH, AR
NPI
1255730412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-08-13
Last Update Date
2014-08-13
Business Address
-- TERRY GARDNER RDS, CIT,
615 N 19TH ST
FORT SMITH, AR 72901-3319
Phone number: 479-785-4083
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Mailing Address
-- TERRY GARDNER RDS, CIT,
615 N 19TH ST
FORT SMITH, AR 72901-3319
Phone number: 479-785-4083
Copy
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