Individual
TIFFANY TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 WELLNESS WAY, HOT SPRINGS, AR 71913
(501) 624-7111
Mailing address
125 WELLNESS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8523-C
AR
1041C0700X
Clinical Social Worker
8523-M
AR
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/19/2018
Last updated
09/14/2020
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