Individual
MR. GARY D GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1820 CENTRAL AVE, HOT SPRINGS, AR 71901-6847
(501) 463-4627
Mailing address
128 OLD HIGHWAY 70 LOOP, GLENWOOD, AR 71943-8908
(870) 828-8992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1109073
AR
Other
Enumeration date
08/20/2007
Last updated
08/02/2019
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