Individual
JACKIE MARIE MORRIS-BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1431 N MERION WAY, 101, FAYETTEVILLE, AR 72704-6417
(618) 420-3557
Mailing address
1431 N MERION WAY, 101, FAYETTEVILLE, AR 72704-6417
(618) 420-3557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5032-C
AR
Other
Enumeration date
04/17/2013
Last updated
09/05/2025
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