STEPHANIE JADE MOORE

BATESVILLE, AR
NPI1386113421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AR  1641)
Enumeration Date2018-11-19
Last Update Date2018-11-19
Business Address
Mrs. STEPHANIE JADE MOORE ADC
1104 VINE STREET
BATESVILLE, AR 72501-8638
Phone number: 870-613-6624
Mailing Address
Mrs. STEPHANIE JADE MOORE ADC
1104 VINE STREET
BATESVILLE, AR 72501-8638
Phone number: 870-613-6624