Individual
TRACIE FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSP, DT
Contact information
Practice address
300 SOUTHWEST SQ, JONESBORO, AR 72401-5984
(870) 336-0220
(870) 336-0221
Mailing address
300 SOUTHWEST SQ, JONESBORO, AR 72401-5984
(870) 336-0220
(870) 336-0221
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
001231
AR
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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