Individual
LISA K SOUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 W 2ND ST STE 517, LITTLE ROCK, AR 72201-2510
(501) 213-7556
(501) 663-2234
Mailing address
221 W 2ND ST STE 517, LITTLE ROCK, AR 72201-2510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2145-C
AR
Other
Enumeration date
09/21/2007
Last updated
08/10/2021
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