Individual
TEQULIA MONIKIA PICKROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
437 DENISON ST, CONWAY, AR 72034-6127
(501) 852-1363
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8720-M
AR
Other
Enumeration date
11/12/2008
Last updated
02/06/2025
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