Individual
BENITA L STILES-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 MADISON 3275, HUNTSVILLE, AR 72740-6983
(479) 232-5290
Mailing address
1014 MADISON 3275, HUNTSVILLE, AR 72740-6983
(479) 404-0303
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00002444
WA
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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