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Individual

GARRY DEAN TEETER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 N MARKET ST, BENTON, AR 72015-3733
(501) 847-2229
(501) 847-8608
Mailing address
PO BOX 298, BRYANT, AR 72089-0298
(501) 847-2229
(501) 847-8608

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P9903009
AR

Other

Enumeration date
03/10/2006
Last updated
04/05/2011
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