Individual
MADISON STACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
582 HIGHWAY 365 STE 3, MAYFLOWER, AR 72106-9525
(501) 470-3500
(501) 470-3502
Mailing address
582 HIGHWAY 365 STE 3, MAYFLOWER, AR 72106-9525
(501) 470-3500
(501) 470-3502
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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