Individual
STACY LEANN WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 CENTRAL AVE, SEARCY, AR 72143-7328
(501) 305-3305
(501) 279-0760
Mailing address
1 CHILDRENS WAY, SLOT 512-39, LITTLE ROCK, AR 72202-3500
(501) 526-8700
(501) 526-8740
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2870-B
AR
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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