LARRY RAY GARDNER

BREMERTON, WA
NPI1366597627
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  RC00028551)
Enumeration Date2007-01-24
Last Update Date2007-07-08
Business Address
-- LARRY RAY GARDNER BS
5455 ALMIRA DR SE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
Mailing Address
-- LARRY RAY GARDNER BS
5455 ALMIRA DR SE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031