Individual
MR. STANLEY ALLAN ESCALANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1420 PINE ST, ARKADELPHIA, AR 71923-4731
(870) 230-8364
(870) 230-8381
Mailing address
218 N 11TH ST APT 44, ARKADELPHIA, AR 71923-4918
(870) 403-8757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A0312103
AR
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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