Individual
MS. MISTI LIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
215 N EAST AVE STE 201, FAYETTEVILLE, AR 72701-5296
(479) 239-9181
(479) 210-2139
Mailing address
1769 N MISTY LN, FAYETTEVILLE, AR 72701-2890
(479) 239-9181
(479) 210-2139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2205-C
AR
Other
Enumeration date
03/06/2007
Last updated
01/03/2023
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