TRACY L BAXLEY TULLOS

RUSSELLVILLE, AR
NPI1124120712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AR  2041C)
Enumeration Date2006-09-02
Last Update Date2015-05-05
Business Address
-- TRACY L BAXLEY TULLOS LCSW
3106 W 2ND CT SUITE 1
RUSSELLVILLE, AR 72801-4503
Phone number: 479-880-5100
Mailing Address
-- TRACY L BAXLEY TULLOS LCSW
3106 W 2ND CT SUITE 1
RUSSELLVILLE, AR 72801-4503
Phone number: 479-880-5100
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