STACEY ANNE FREDERICK

FORT SMITH, AR
NPI1811421068
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2017-04-14
Last Update Date2017-04-14
Business Address
STACEY ANNE FREDERICK
6601 PHOENIX AVE SUITE B
FORT SMITH, AR 72903-5092
Phone number: 479-785-9091
Mailing Address
STACEY ANNE FREDERICK
1 CHILDRENS WAY SLOT 512-39
LITTLE ROCK, AR 72202-3500
Phone number: 501-526-8700
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