Individual
STACY M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
200 MANOR ST, MARION, AR 72364-1936
(870) 739-5100
(870) 739-5123
Mailing address
625 EVELYN RD, MARION, AR 72364-3048
(901) 619-1645
(870) 739-5123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1275
AR
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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