Individual
MRS. LACIE RACHEAL STOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
Mailing address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12032-M
AR
1041C0700X
Clinical Social Worker
Primary
12032-C
AR
1041C0700X
Clinical Social Worker
12032-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289327795
—
AR
05
—
352622719
—
AR
Enumeration date
09/20/2022
Last updated
01/23/2026
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