Stacey Lynette Bankston, LCSW

NPI #1710211461 in Rogers, Arkansas

Provider Information

NPI Number
1710211461
Entity Type
Individual
Name
Stacey Lynette Bankston, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Sep 29, 2009
Last Updated
Sep 8, 2016

Practice Location

Address
1233 WEST POPLAR
City
Rogers
ZIP Code
72756-4249
Phone
(479) 636-9235

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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