STACEY LYNETTE BANKSTON

ROGERS, AR
NPI1710211461
Former NameSTACEY LYNETTE STEVENS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AR  7482-C)
Enumeration Date2009-09-29
Last Update Date2016-09-08
Business Address
-- STACEY LYNETTE BANKSTON LCSW
1233 WEST POPLAR
ROGERS, AR 72756-4249
Phone number: 479-636-9235
Mailing Address
-- STACEY LYNETTE BANKSTON LCSW
614 E EMMA AVENUE SUITE 300
SPRINGDALE, AR 72764-4469
Phone number: 479-751-7417
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