Individual
HAYLEY ERIN LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 W 6TH ST, MOUNTAIN HOME, AR 72653-3509
(870) 425-8642
Mailing address
602 N WALTON BLVD, BENTONVILLE, AR 72712-4576
(479) 464-1060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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