Individual
STACY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6309 HIGHWAY 367 N, TUCKERMAN, AR 72473-9389
(870) 495-3124
Mailing address
6309 HIGHWAY 367 N, TUCKERMAN, AR 72473-9389
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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