Individual
PENNY STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
829 HALBERT ST, MALVERN, AR 72104-2607
(501) 332-4400
Mailing address
829 HALBERT ST, MALVERN, AR 72104-2607
(501) 332-4400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6570-C
AR
Other
Enumeration date
05/28/2012
Last updated
05/12/2017
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