WESTON BLAKE SANDUSKY

SPRINGDALE, AR
NPI1780963926
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-08-05
Last Update Date2011-08-05
Business Address
-- WESTON BLAKE SANDUSKY MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
Mailing Address
-- WESTON BLAKE SANDUSKY MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020