Individual
MR. JEFFREY RAY PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
112 LIDO PL, SEARCY, AR 72143-3202
(501) 279-0982
Mailing address
112 LIDO PL, SEARCY, AR 72143-3202
(501) 279-0982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1047-C
AR
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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