Individual
MR. DEMETRIC DEWAYNE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QBHP
Contact information
Practice address
20400 COL GLENN RD, LITTLE ROCK, AR 72210-5323
(501) 821-5500
Mailing address
20400 COL GLENN RD, LITTLE ROCK, AR 72210-5323
(501) 821-5500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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