Individual
STACEE NICOLE BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF-SLP
Contact information
Practice address
311 MORROW ST N, MENA, AR 71953-2516
(479) 394-6100
Mailing address
311 MORROW ST N, MENA, AR 71953-2516
(479) 394-6100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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