MS. Stacy Michelle Wilson, LCSW
NPI #1356464556 in Bentonville, Arkansas
Provider Information
- NPI Number
- 1356464556
- Entity Type
- Individual
- Name
- MS. Stacy Michelle Wilson, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2003 SE WALTON BLVD
- City
- Bentonville
- State
- Arkansas
- ZIP Code
- 72712-3725
- Phone
- (479) 464-8081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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