Individual
MIKA TAMARA GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2126 N 1ST ST STE F, JACKSONVILLE, AR 72076-2868
(501) 982-5000
(501) 982-5007
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4064-M
AR
104100000X
Social Worker
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186726795
—
AR
Enumeration date
08/17/2011
Last updated
05/15/2018
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