Individual
MRS. ELIZABETH PULLAM NEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1605 KAVANAUGH BLVD, LITTLE ROCK, AR 72205-4115
(501) 247-5416
Mailing address
1605 KAVANAUGH BLVD, LITTLE ROCK, AR 72205-4115
(501) 247-5416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5101-C
AR
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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