Individual
STACY WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
410 CAMP RD, POCAHONTAS, AR 72455-1487
(870) 892-0027
Mailing address
95 RIVER HILL RD, GLENCOE, AR 72539-9434
(870) 892-0027
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
L49273
AR
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
08/17/2015
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