Individual
MRS. STEPHANIE L GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPE
Contact information
Practice address
301 N OAK ST, SHERIDAN, AR 72150
(870) 942-5101
(870) 942-7123
Mailing address
2500 RIKE DRIVE, PINE BLUFF, AR 71603
(870) 534-1834
(870) 534-5798
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
0404E
AR
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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