Stacey Wilson

NPI #1972023653 in Hope, Arkansas

Provider Information

NPI Number: 1972023653
Entity Type: Individual
Name: Stacey Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 22, 2017
Last Updated: Jun 22, 2017

Practice Location

Address: 802 E 3RD ST
City: Hope
State: Arkansas
ZIP Code: 71801-5503
Phone: (870) 722-8041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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