KEVIN GASSAWAY

BARLING, AR
NPI1982926754
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-02-22
Last Update Date2010-02-22
Business Address
-- KEVIN GASSAWAY
1311 FORT STREET SUITE J
BARLING, AR 72923
Phone number: 479-452-5040
Mailing Address
-- KEVIN GASSAWAY
PO BOX 23070
BARLING, AR 72923-0070
Phone number: 479-452-5040