MRS. Leslie Ryan Stallcup, B.A. MHPP

NPI #1891920153 in Paragould, Arkansas

Provider Information

NPI Number: 1891920153
Entity Type: Individual
Name: MRS. Leslie Ryan Stallcup, B.A. MHPP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: B.A. MHPP
Enumeration Date: May 15, 2009
Last Updated: May 15, 2009

Practice Location

Address: 1910 RECTOR RD
City: Paragould
State: Arkansas
ZIP Code: 72450-2004
Phone: (870) 240-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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