Individual
STACY ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2205 PHYLLIS ST, BENTONVILLE, AR 72712-6490
(479) 530-5236
Mailing address
2205 PHYLLIS ST, BENTONVILLE, AR 72712-6490
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2406009
AR
Other
Enumeration date
07/29/2024
Last updated
08/22/2025
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