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Individual

MS. SHANTINA MICHELLE STEWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
70 LAFAYETTE 39 LOT B, BUCKNER, AR 71827-9505
(870) 949-9969
Mailing address
70 LAFAYETTE 39, BUCKNER, AR 71827-9505
(870) 953-0045

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R72626
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
216710
AR

Other

Enumeration date
11/06/2007
Last updated
06/05/2023
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