Individual
LISA DIERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2919
(870) 425-6901
(870) 424-8703
Mailing address
8 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2919
(870) 425-6901
(870) 424-8703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1817-M
AR
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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