Individual
BIANCA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 N COLLEGE AVE, EL DORADO, AR 71730
(870) 864-2417
Mailing address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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