Individual
STACEY HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 COBB DR, JONESBORO, LA 71251
(318) 475-1954
Mailing address
305 COBB DR, JONESBORO, LA 71251-9376
(318) 475-1954
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10703
LA
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/13/2015
Last updated
09/13/2024
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