Individual
TRACIE R DAVIS-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2411 W MAIN ST, JACKSONVILLE, AR 72076-4211
(501) 982-5402
(501) 533-6378
Mailing address
PO BOX 647, JACKSONVILLE, AR 72078-0647
(501) 982-5402
(501) 533-6378
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2586-M
AR
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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