LARRY DEWAYNE NOEL

TEXARKANA, AR
NPI1396382859
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2019-12-04
Last Update Date2019-12-04
Business Address
LARRY DEWAYNE NOEL
7000 N STATE LINE AVE
TEXARKANA, AR 71854-8100
Phone number: 870-774-1315
Mailing Address
LARRY DEWAYNE NOEL
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: