TERRANCE STAFFORD

WEST MEMPHIS, AR
NPI1649549668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-12-20
Last Update Date2011-12-20
Business Address
MR. TERRANCE STAFFORD MHPP
410 S AVALON ST VFW DRIVE
WEST MEMPHIS, AR 72301-4183
Phone number: 870-394-9575
Mailing Address
MR. TERRANCE STAFFORD MHPP
703 CALVIN AVERY DR SUITE A
WEST MEMPHIS, AR 72301-6501
Phone number: 870-732-1878