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Individual

MRS. DANA A ILIE-STOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2400 S 48TH ST, OZARK GUIDANCE, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
077231
NY
1041C0700X
Clinical Social Worker
Primary
4445-C
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
077231
LCSW
NY
05
227792719
AR
Enumeration date
11/04/2010
Last updated
11/06/2023
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