STACY MICHELLE WILSON

BENTONVILLE, AR
NPI1356464556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AR  2075-C)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
Ms. STACY MICHELLE WILSON LCSW
2003 SE WALTON BLVD
BENTONVILLE, AR 72712-3725
Phone number: 479-464-8081
Mailing Address
Ms. STACY MICHELLE WILSON LCSW
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-521-5731