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Mr. THAN DEMETRISUS ANDROS -- AT

Individual Provider (NPI-1) Active

Counselor

Provider Information

NPI Number
1235450172
Provider Type
Individual Provider (NPI-1)
Credentials
AT
Status
Active

Contact & Location

Address
417 W MAIN ST STE B, TRUMANN, AR, 724723116
Phone
(870) 483-7039
Fax
(870) 483-0590

Specialties & Taxonomies

Counselor Primary

All Addresses

MAILING

5537 BLEAUX AVE

SPRINGDALE, AR, 727620737

(479) 872-5580

LOCATION

417 W MAIN ST STE B

TRUMANN, AR, 724723116

(870) 483-7039