Individual
PEGGIE TISDALE-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1864 E PARKSHORE DR APT 11, FAYETTEVILLE, AR 72703-6268
(479) 443-4301
(479) 587-5994
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
(479) 587-5994
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8100-M
AR
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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