Individual
TIFFANY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMSW
Contact information
Practice address
2718 S ARCH ST, LITTLE ROCK, AR 72206-6529
(501) 551-1201
(501) 615-8721
Mailing address
2718 S ARCH ST, LITTLE ROCK, AR 72206-6529
(501) 551-1201
(501) 615-8721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PLMSW
AR
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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