Individual
ANNE MABRY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 SALEM RD STE 1, CONWAY, AR 72034-6166
(501) 336-8300
(501) 329-5508
Mailing address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 968-1298
(479) 968-6053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLMSW
IN
Other
Enumeration date
09/29/2016
Last updated
07/21/2022
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