STACEY ETTIENE

Case Manager/Care Coordinator

Active Individual
NPI: 1407635337

Practice Address

132 LOWER RIDGE RD
Conway, AR 72032

Phone: (501) 315-3344

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1407635337 is the National Provider Identifier for STACEY ETTIENE, a Case Manager/Care Coordinator provider located in Conway, AR. This NPI was enumerated on September 28, 2023.
STACEY ETTIENE practices at 132 LOWER RIDGE RD, Conway, AR 72032.

Quick Facts

NPI
1407635337
Type
Individual
Enumerated
Sep 28, 2023
Last Updated
Sep 28, 2023

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