Individual
MS. STACY LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
3450 W 34TH AVE, PINE BLUFF, AR 71603-5508
(870) 534-7392
Mailing address
521 MAYFLOWER LN APT B, WHITE HALL, AR 71602-2795
(870) 534-7392
(870) 534-7297
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT#1951
AR
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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