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1194091769
TRACEY ELIZABETH MALLARD
PIGGOTT, AR
NPI
1194091769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 6850-C)
Enumeration Date
2012-03-28
Last Update Date
2018-05-09
Business Address
Ms. TRACEY ELIZABETH MALLARD LCSW
111 S 3RD AVE
PIGGOTT, AR 72454-2634
Phone number: 870-598-0306
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Mailing Address
Ms. TRACEY ELIZABETH MALLARD LCSW
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
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