Individual
NGA T PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHILDRENS WAY, SLOT 512-39, LITTLE ROCK, AR 72202-3500
(501) 364-3620
(501) 364-5192
Mailing address
1 CHILDRENS WAY, SLOT 512-39, LITTLE ROCK, AR 72202-3500
(501) 364-3620
(501) 364-5192
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2391-C
AR
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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