Individual
STACY ELSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 WOODS LANE, ROGERS, AR 72756
(479) 636-3190
Mailing address
1807 NW BUCKSKIN AVE, BENTONVILLE, AR 72712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2434
AR
Other
Enumeration date
05/04/2007
Last updated
07/09/2007
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