Individual
MS. SHIRLEY J THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
1100 NORTH COLLEGE AVENUE, FAYETTEVILLE, AR 72703
(479) 444-5065
(479) 587-5994
Mailing address
9875 S VIEW DR, ROGERS, AR 72756-8174
(479) 621-5032
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-982
AR
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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