Individual
TINA RENEE PEARCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7349 SCHOOL ST, VALLEY SPRINGS, AR 72682-9998
(479) 304-8741
Mailing address
1409 HIGHWAY 62 65 N STE 2, HARRISON, AR 72601-1970
(479) 304-8741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7219-M
AR
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7219-C
LCSW
AR
Enumeration date
05/08/2015
Last updated
06/29/2020
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