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Individual

MS. MALEN CAREY GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2153 E JOYCE BLVD STE 201, FAYETTEVILLE, AR 72703-5285
(479) 575-9772
Mailing address
3101 SOUTH H STREET, ROGERS, AR 72758
(479) 587-2030

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/07/2011
Last updated
06/07/2011
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