Individual
GAYLE SUE STOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 443-7105
(479) 443-2519
Mailing address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 521-5731
(479) 521-6520
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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