Individual
STEPHANIE DRU ENSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 N 2ND ST, ROGERS, AR 72756-2836
(479) 631-7878
Mailing address
22 RAVENSHOE RD, ROGERS, AR 72756-8276
(479) 685-5159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1706320
AR
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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