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1184665358
STACEY RAE YOUNG
FAYETTEVILLE, AR
NPI
1184665358
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Former Name
STACEY RAE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 1934-C)
Enumeration Date
2006-06-09
Last Update Date
2020-06-09
Business Address
STACEY RAE YOUNG LCSW
215 N EAST AVE
FAYETTEVILLE, AR 72701
Phone number: 479-301-5290
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Mailing Address
STACEY RAE YOUNG LCSW
PO BOX 4614
FAYETTEVILLE, AR 72702-4614
Phone number: 479-387-0813
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