Individual
STEPHANIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 PINE ST, ARKADELPHIA, AR 71923-4335
(870) 245-2210
Mailing address
528 N 14TH ST, ARKADELPHIA, AR 71923-4619
(870) 403-1262
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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