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Individual

STEPHANIE MENKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 CHERI WHITLOCK DR, SILOAM SPRINGS, AR 72761-9100
(479) 524-2456
(479) 373-1129
Mailing address
PO BOX 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 339-8760

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/07/2025
Last updated
03/07/2025
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