MR. Than Demetrisus Andros, AT

NPI #1235450172 in Trumann, Arkansas

Provider Information

NPI Number: 1235450172
Entity Type: Individual
Name: MR. Than Demetrisus Andros, AT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: AT
Enumeration Date: Jun 15, 2010
Last Updated: Jun 15, 2010

Practice Location

Address: 417 W MAIN ST
Address 2: STE B
City: Trumann
State: Arkansas
ZIP Code: 72472-3116
Phone: (870) 483-7039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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