STACEY LANE

CONWAY, AR
NPI1356691190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-09-19
Last Update Date2012-09-19
Business Address
-- STACEY LANE recovery Assistant
132 LOWER RIDGE RD
CONWAY, AR 72032-8518
Phone number: 501-315-3344
Mailing Address
-- STACEY LANE recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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