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1538238670
LISA DIERKING
MOUNTAIN HOME, AR
NPI
1538238670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 1817-M)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
-- LISA DIERKING LMSW
8 MEDICAL PLZ
MOUNTAIN HOME, AR 72653-2919
Phone number: 870-425-6901
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Mailing Address
-- LISA DIERKING LMSW
8 MEDICAL PLZ
MOUNTAIN HOME, AR 72653-2919
Phone number: 870-425-6901
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