Individual
MS. STEPHANIE LYN MARLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
3715 N BUSINESS DR, FAYETTEVILLE, AR 72703-5204
(479) 575-9471
(479) 387-6274
Mailing address
3715 N BUSINESS DR, FAYETTEVILLE, AR 72703-5204
(479) 575-9471
(479) 387-6274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
913472017
AR
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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