| Doctor Name: | STACEY LEANNE DILLARD |
| NPI Number: | 1710250204 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 10036 |
| Business Practice Address: | 431 W Lafayette St Winnfield, LA - 714833463 |
| Business Phone Number: | 3186480375 |
| Business Fax Number: | |
| Mailing Address: | 4362 Texas Hwy, MANY |
| State: | LA |
| Postal Code: | 714495236 |
| Phone Number: | 3183321845 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2012 |
| NPI Last Update Date: | 10/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 10036 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |