Individual
MS. TANECIA NICOLA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 FOX DEN CT, NORTH LITTLE ROCK, AR 72118-3063
(501) 240-3823
Mailing address
305 S PALM ST, LITTLE ROCK, AR 72205-5432
(501) 686-9000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
933811772
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14316291
UMR
AR
Enumeration date
04/20/2021
Last updated
04/20/2021
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